Individual provider Active NPI

Ian Rawluk, PA-C

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1306735089
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11211 Issued in AZ
Practice address
6135 Ollie Walk Ste 200
Alpharetta, GA 30005-2461
Phone
(844) 779-7026
NPI assigned
Jun 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11211 AZ Primary
Physician Assistant 363A00000X 14139 GA

Addresses

Primary practice location

6135 Ollie Walk Ste 200
Alpharetta, GA 30005-2461

Mailing address

2324 Commerce St
Alpharetta, GA 30009-3806
Phone (914) 595-6653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250918004451 AZ Practitioner - Physician Assistant 8729582010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1066 N Power Rd
Suite 101
Mesa, AZ 85205-5709
Phone (480) 807-0130

1155 W Ocotillo Rd
Suite 4
Chandler, AZ 85248-3201
Phone (480) 374-7400

1683 E Florence Blvd
Suite 7
Casa Grande, AZ 85122-4813
Phone (520) 876-0800

20236 N John Wayne Pkwy
Suite 100
Maricopa, AZ 85139-2911
Phone (520) 518-7510

2080 W Southern Ave
BLDG A1
Apache Junction, AZ 85120-7653
Phone (480) 985-0172

2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570

2145 E Baseline Rd
Tempe, AZ 85283-1546
Phone (480) 704-4411

5369 S Calle Santa Cruz
Suite 145
Tucson, AZ 85706-3963
Phone (520) 573-7500

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

6343 S Higley Rd
Gilbert, AZ 85298-4339
Phone (480) 748-2712

7230 W Ray Rd
Suite 10
Chandler, AZ 85226-1531
Phone (623) 888-6359

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11211AZMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: ian.rawluckpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 2

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": "1751241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1306735089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 COMMERCE ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093806",
            "telephone_number": "914-595-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 OLLIE WALK STE 200",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052461",
            "telephone_number": "844-779-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWLUK",
        "first_name": "IAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-30",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11211",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "14139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.