Individual provider Active NPI

Georgia Ireland, PA

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1033960174
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117873 Issued in FL
Practice address
5318 34TH St West
Bradenton, FL 34210
Phone
(941) 758-0205
NPI assigned
Mar 28, 2024
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117873 FL Primary

Addresses

Primary practice location

5318 34TH St West
Bradenton, FL 34210

Mailing address

5318 34TH St West
Bradenton, FL 34210
Phone (941) 758-0205

Other practice location 1

2902 59th St W Ste C
Bradenton, FL 34209-7021
Phone (941) 877-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117873FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor 4 U Clinic Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

5318 34th St W
Bradenton, FL 34210
Phone (941) 758-0205

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1033960174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 34TH ST WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34210",
            "telephone_number": "941-758-0205",
            "fax_number": "941-242-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 34TH ST WEST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34210",
            "telephone_number": "941-758-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2902 59th St W Ste C",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342097021",
            "country_code": "US",
            "telephone_number": "941-877-7000",
            "fax_number": "941-242-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "GEORGIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2025-07-22",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.