David L Quinn, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002527 Issued in GA

Practice address

58 Big a Rd
Toccoa, GA 30577-6017

Phone

(706) 827-2607

Fax

(866) 787-3676

NPI assigned

Aug 31, 2006

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reagan Medical Center LLC

  • Family Medicine Physician
  • Suwanee, GA
  • NPI 1952316747
  Medicare reassignment NPD
• Reddy Urgent Care LLC

  dba Athens Reddy Urgent Care

  • Urgent Care Clinic/Center
  • Athens, GA
  • NPI 1922356179
  Medicare reassignment NPD
• Reddy Urgent Care LLC

  dba Reddy Urgent Care Royston

  • Urgent Care Clinic/Center
  • Royston, GA
  • NPI 1982287546
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1013029594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 BIG A RD",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776017",
            "telephone_number": "706-827-2607",
            "fax_number": "866-787-3676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2878 Five Forks Trickum Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300445896",
            "country_code": "US",
            "telephone_number": "770-344-8700",
            "fax_number": "770-344-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "GA002527",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00511409D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter Henry Pruitt II, R.PH.
• Pruitthealth - Toccoa, LLC (PruittHealth - Toccoa)
• Pruitthealth Pharmacy Services, Inc. (PruittHealth Pharmacy Services - Toccoa)
• Enrique Puertos, PHARMD
• Robert E Quick III, MD
• Bernard A Ram, MD
• Ben D. Ramsey, AT-L
• Camden L Randels, CNM
• Hilari Alysia Reagin, FNP
• Angela B Reese, M.D., P.C.

• Medical Physician Assistant in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.