Individual provider Active NPI

Joseph Flynn Drevlow, PA-C

  • Medical Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1134675481
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
11373 Issued in GA
Practice address
10905 Haynes Bridge Rd
Alpharetta, GA 30022-4807
Phone
(770) 343-9898
NPI assigned
Aug 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 11373 GA Primary

Addresses

Primary practice location

10905 Haynes Bridge Rd
Alpharetta, GA 30022-4807

Mailing address

10905 Haynes Bridge Rd
Alpharetta, GA 30022-4807
Phone (706) 626-3980

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240531000940 GA Practitioner - Physician Assistant 6204278526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

870 N Main St
Alpharetta, GA 30009-2332
Phone (470) 508-4089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11373GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Dahlonega LLC Current Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Mar 5, 2026 Accepting new patients
Peachtree Immediate Care UC, LLC PastSince Mar 5, 2026 Accepting new patients

Locations

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

870 N Main St
Alpharetta, GA 30009
Phone (470) 508-4089

790 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-1001

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1134675481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10905 HAYNES BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224807",
            "telephone_number": "706-626-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10905 HAYNES BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224807",
            "telephone_number": "770-343-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREVLOW",
        "first_name": "JOSEPH",
        "middle_name": "FLYNN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "11373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.