Pamela Van Gutwein, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

8903 Issued in GA

Practice address

11685 Alpharetta Hwy Ste 170
Roswell, GA 30076-4913

Phone

(770) 619-0004

Fax

(770) 619-0252

NPI assigned

Sep 14, 2018

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela CHI Former name

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

Specialty

Physician Assistant

Education

Mercer University School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northside Primary Care Professional Services,LLCGroup PAC ID 9638343924, 313 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Northside Primary Care Professional Services,LLC

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1922397553
  Medicare reassignment Care Compare group
• Physicians Express Care LLC

  • Urgent Care Clinic/Center
  • Alpharetta, GA
  • NPI 1528336674
  Medicare reassignment NPD (past)
• Physicians Express Care LLC

  dba Physician's Express Care

  • Urgent Care Clinic/Center
  • Alpharetta, GA
  • NPI 1487046603
  NPD

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1194208132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY STE 170",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-619-0004",
            "fax_number": "770-619-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY STE 170",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-619-0004",
            "fax_number": "770-619-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTWEIN",
        "first_name": "PAMELA",
        "middle_name": "VAN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CHI",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jose Guevara, D.C.
• Guided Motion, LLC
• Sara Rae Guinn, M.M.ED, MT-BC
• Margaret G Gunter, LPC, NCC
• Vivek V. Gurudutt, MD
• Jennifer Leonor Guzman Garcia, M.D.
• Gwinnett Spinal & Rehab. Center, P.C.
• H&B Medical Services, P.a.
• Katharine Haase, OT
• Rebecca Habte

• Medical Physician Assistant in Roswell, GA
• Providers in Roswell, 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 Feb 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.