Individual provider Active NPI

Nathan King Szakal, PA

  • Medical Physician Assistant
  • Watkinsville, GA
National Provider Identifier
1205527637
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
12604 Issued in GA
Practice address
1747 Langford Dr BLDG 400-105
Watkinsville, GA 30677-7370
Phone
(706) 769-1100
NPI assigned
May 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 12604 GA Primary

Addresses

Primary practice location

1747 Langford Dr BLDG 400-105
Watkinsville, GA 30677-7370

Mailing address

1747 Langford Dr
Watkinsville, GA 30677-7310
Phone (706) 769-1100

Other practice location 1

135 Sunset Dr
Athens, GA 30606-2845
Phone (478) 293-9359

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
I20250310001527 GA Practitioner - Physician Assistant 8224562988 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12604GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trevecca Nazarene University PastSince May 1, 2023 Accepting new patients
Health Associates of Georgia, Inc. PastSince Feb 10, 2026 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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1205527637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777310",
            "telephone_number": "706-769-1100",
            "fax_number": "706-310-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 LANGFORD DR BLDG 400-105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777370",
            "telephone_number": "706-769-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062845",
            "country_code": "US",
            "telephone_number": "478-293-9359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SZAKAL",
        "first_name": "NATHAN",
        "middle_name": "KING",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "12604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.