MR. DANIEL WILSON KREVDO RPA NPI 1427255769

NPI Information

  • NPI: 1427255769
  • Provider Name: MR. DANIEL WILSON KREVDO, RPA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 901 GRIFFIN AVE
    EASTMAN, GA
    ZIP 31023
  • Phone: (478) 448-4048

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NPI Details

MR. Daniel Wilson Krevdo, RPA is a medical physician assistant in Eastman, GA. MR. Daniel Wilson Krevdo, RPA NPI is 1427255769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 GRIFFIN AVE
EASTMAN, GA
ZIP 31023-720
Phone: (478) 448-4048
Fax: (478) 374-9797

The enumeration date for this NPI number is 6/29/2007 and was last updated on 9/11/2025.

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
12471C3401XRadiologic TechnologistComputed TomographyJX39313FLORIDANo
22471C3402XRadiologic TechnologistRadiographyJX39313FLORIDANo
32471V0106XRadiologic TechnologistVascular-Interventional TechnologyJX39313FLORIDANo
4363AM0700XPhysician AssistantMedicalYes

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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