Active NPI
Ian Rawluk, PA-C
- Physician Assistant
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11211 | AZ | MD | Physician Assistant |
Interoperability endpoints
- 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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.