JEFF A D'AMBROSIO PA-C NPI 1457553927

NPI Information

  • NPI: 1457553927
  • Provider Name: JEFF A D'AMBROSIO, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 215 RIVERSTONE DR
    CANTON, GA
    ZIP 30114
  • Phone: (770) 345-6600

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NPI Details

Jeff A D'ambrosio, PA-C is a medical physician assistant in Canton, GA with 21 years of experience. Jeff A D'ambrosio, PA-C NPI is 1457553927. 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:

215 RIVERSTONE DR
CANTON, GA
ZIP 30114-256
Phone: (770) 345-6600
Fax: (770) 345-6611

The NPI 1457553927 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.

  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Test for allergy using allergenic extract (HCPCS:95004)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Test for allergy using allergenic extract injected into skin (HCPCS:95024)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 6/5/2007 and was last updated on 7/8/2007.

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
1363AM0700XPhysician AssistantMedical004621GEORGIAYes

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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