Individual provider Active NPI

Nathan Milan Setka

  • Physician Assistant
  • Cumming, GA
National Provider Identifier
1174557359
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9219 Issued in GA
Practice address
610 Peachtree Pkwy Ste 100
Cumming, GA 30041-9762
Phone
(678) 513-5260
Fax
(678) 513-5261
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1071719
Physician Assistant 363A00000X 9219 GA Primary

Addresses

Primary practice location

610 Peachtree Pkwy Ste 100
Cumming, GA 30041-9762

Mailing address

610 Peachtree Pkwy Ste 100
Cumming, GA 30041-9762
Phone (678) 513-5260

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
I20190501002349 GA Practitioner - Physician Assistant 3173865797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Urgent Care Holding LLCGroup PAC ID 4587984695, 77 clinicians

Practice addresses (Care Compare)

1110 W Peachtree St NW
Suite 200
Atlanta, GA 30309-3609
Phone (404) 575-2000

11685 Alpharetta Hwy
Suite 150a
Roswell, GA 30076-4982
Phone (770) 555-5555

684 Sixes Rd
125A
Holly Springs, GA 30115-8758
Phone (678) 426-5450

81 Northside Dawson Dr
Suite 100a
Dawsonville, GA 30534-7166
Phone (706) 216-6000

900 Towne Lake Pkwy
Suite 104
Woodstock, GA 30189-1603
Phone (770) 772-1830

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9219GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
ENT of Georgia, LLC Past Accepting new patients
Milton Hall Surgery Center Past Accepting new patients

Organizations & group practices 3

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1174557359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PEACHTREE PKWY STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419762",
            "telephone_number": "678-513-5260",
            "fax_number": "678-513-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PEACHTREE PKWY STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419762",
            "telephone_number": "678-513-5260",
            "fax_number": "678-513-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETKA",
        "first_name": "NATHAN",
        "middle_name": "MILAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1071719",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.