Active NPI
Ashley G. Loseke, PA
- Physician Assistant
- Bonaire, GA
National Provider Identifier
1225087992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004318
- Practice address
- 106 Moran Dr
Bonaire, GA 31005 - Phone
- (478) 988-1282
- Fax
- (478) 988-3120
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004318 | GA | Primary |
Addresses
Primary practice location
106 Moran Dr
Bonaire, GA 31005
Mailing address
120-B Osigian Blvd
Suite 100
Warner Robins, GA 31088-8939
Phone (478) 953-5358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1225087992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120-B OSIGIAN BLVD",
"address_2": "SUITE 100",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310888939",
"telephone_number": "478-953-5358",
"fax_number": "478-953-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MORAN DR",
"city": "BONAIRE",
"state": "GA",
"postal_code": "31005",
"telephone_number": "478-988-1282",
"fax_number": "478-988-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSEKE",
"first_name": "ASHLEY",
"middle_name": "G.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonaire, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.