Summer Rae Nelson, PA-C
Individual provider Active NPI Physician Assistant · Dahlonega, GA
NPI 1144973306 · NPPES record last updated May 11, 2026
Key facts
- NPI
- 1144973306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10821 (GA)
- Practice address
- 400 Walmart Way Ste F
Dahlonega, GA 30533-0829 - Phone
- (706) 867-7666
- Fax
- (706) 867-0169
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230516001029 | GA | Practitioner - Physician Assistant | 1254797350 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10821 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Dahlonega LLC | Current | Accepting new patients |
Locations
400 Walmart Way
Ste F
Dahlonega, GA 30533
Phone (706) 867-7666
790 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10821 | GA | Yes |
Addresses
Primary practice location
400 Walmart Way Ste F
Dahlonega, GA 30533-0829
Mailing address
400 Walmart Way Ste F
Dahlonega, GA 30533-0829
Phone (706) 867-7666
Other providers in Dahlonega, GA
- Becky Murck
- Lindsey Murphy
- Julie Horner Murray
- Carolyn Lizzy Mwangi
- Sandra H Napier
- New Focus Addiction and Behavioral Health Inc
- New Hankook Hospice LLC
- New Hankook Senior Care
- Grace A Newsome
- NGMC Lumpkin, LLC
All providers in Dahlonega, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.