Paul Andrew Dorsett, MMS, PA-C
Individual provider Active NPI Physician Assistant · Swainsboro, GA
NPI 1265039341 · NPPES record last updated Mar 14, 2022
Key facts
- NPI
- 1265039341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 215 N Coleman St
Swainsboro, GA 30401-3530 - Phone
- (813) 285-1396
- NPI assigned
- Oct 2, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210301000983 | GA | Practitioner - Physician Assistant | 2365858263 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Georgia Healthcare Center, Inc. | Current |
Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current |
Accepting new patients |
Locations
1075 E Winthrope Ave
Millen, GA 30442
Phone (478) 237-2638
1570 Brampton Ave
Statesboro, GA 30458
Phone (912) 764-9196
215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBFFAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
215 N Coleman St
Swainsboro, GA 30401-3530
Mailing address
215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638
Other providers in Swainsboro, GA
- Lydia Lee Daley
- Suffearria Makia Daniels-Ellison
- Debbie Jean Davis
- Bobby Lee Derrick
- Vinh Dong
- Dr. WM. Allen Herren,LLC
- Katie Durden
- Berine Denise Early
- East Georgia Healthcare Center Inc
- East Georgia Healthcare Center Inc
All providers in Swainsboro, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.