CARLY ELSIE THRELKELD PA-C NPI 1548884893

NPI Information

NPI: 1548884893
Provider Name: CARLY ELSIE THRELKELD, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1515 RIVER PL STE 280
BRASELTON, GA
ZIP 30517
Phone: (770) 848-6190
Get Directions

Carly Elsie Threlkeld, PA-C is a surgical physician assistant in Braselton, GA with 3 years of experience. Carly Elsie Threlkeld, PA-C NPI is 1548884893. 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:

1515 RIVER PL STE 280
BRASELTON, GA
ZIP 30517-603
Phone: (770) 848-6190

The NPI 1548884893 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 enumeration date for this NPI number is 6/2/2020 and was last updated on 10/1/2021.

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
1	363A00000X	Physician Assistant		10609	GEORGIA	No
2	363AS0400X	Physician Assistant	Surgical	10609	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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