MARIA DE FREITAS PA-C NPI 1164796009

NPI Information

  • NPI: 1164796009
  • Provider Name: MARIA DE FREITAS, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 805 SANDY PLAINS RD
    WELLSTAR MEDICAL GROUP
    MARIETTA, GA
    ZIP 30066
  • Phone: (770) 792-5211

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NPI Details

Maria De Freitas, PA-C is a medical physician assistant in Marietta, GA. Maria De Freitas, PA-C NPI is 1164796009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

805 SANDY PLAINS RD
WELLSTAR MEDICAL GROUP
MARIETTA, GA
ZIP 30066-340
Phone: (770) 792-5211

The NPI 1164796009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 2/23/2012 and was last updated on 8/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantMA061645PENNSYLVANIANo
2363A00000XPhysician Assistant004588GEORGIANo
3363A00000XPhysician Assistant25MP00040500NEW JERSEYNo
4363AM0700XPhysician AssistantMedical008438NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MP00040500OTHERNEW JERSEYNJ PA LICENSE
2008438OTHERNEW YORKNY PA LICENSE
3MA061645OTHERPENNSYLVANIAPENNSYLVANIA PA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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