GEORGIA D ELTABBAKH P.A. NPI 1871589150

NPI Information

  • NPI: 1871589150
  • Provider Name: GEORGIA D ELTABBAKH, P.A.
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1060 HINESBURG RD
    SUITE 301
    SOUTH BURLINGTON, VT
    ZIP 05403
  • Phone: (802) 859-9500

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NPI Details

Georgia D Eltabbakh, P.A. is a medical physician assistant in South Burlington, VT with 28 years of experience. Georgia D Eltabbakh, P.A. NPI is 1871589150. 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:

1060 HINESBURG RD
SUITE 301
SOUTH BURLINGTON, VT
ZIP 05403-612
Phone: (802) 859-9500
Fax: (802) 859-9944

The NPI 1871589150 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.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Immunologic analysis for detection of tumor antigen, quantitative; ca 125 (HCPCS:86304)
  • Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

The enumeration date for this NPI number is 9/22/2005 and was last updated on 6/28/2013.

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
1363AS0400XPhysician AssistantSurgical0550030657VERMONTNo
2363A00000XPhysician Assistant010999NEW YORKNo
3363AM0700XPhysician AssistantMedical0550030657VERMONTYes

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
1S75459MEDICARE UPIN
290000398MEDICAIDVERMONT
3PA1390MEDICARE PINNEW YORK
4AP1022MEDICARE PINVERMONT

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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