Individual provider Active NPI

Steven Finderson, PA

  • Medical Physician Assistant
  • Jackson, GA
National Provider Identifier
1235518549
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3139 Issued in GA
Practice address
2978 Highway 36 W
Jackson, GA 30233-6150
Phone
(770) 504-2112
NPI assigned
May 20, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2015

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 3139 GA Primary

Addresses

Primary practice location

2978 Highway 36 W
Jackson, GA 30233-6150

Mailing address

8034 Stephanie CT
Jonesboro, GA 30236-3945
Phone (404) 664-9731

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
I20260501001468 GA Practitioner - Physician Assistant 9830667450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3350 Breckinridge Blvd
Suite 200
Duluth, GA 30096-4959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3139GAMDMedical Physician Assistant

Organizations & group practices 1

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": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1235518549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8034 STEPHANIE CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363945",
            "telephone_number": "404-664-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 HIGHWAY 36 W",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302336150",
            "telephone_number": "770-504-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINDERSON",
        "first_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "3139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, GA

Sources for this page

Verify at the official NPI Registry.