Individual provider Active NPI

Henry Aucoin, P.A.C.

  • Medical Physician Assistant
  • Columbus, GA
National Provider Identifier
1508928474
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
P.A.-1 Issued in AL
Practice address
1538 13TH. Ave
Suite B300
Columbus, GA 31901-3700
Phone
(706) 321-9300
Fax
(706) 321-9384
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 02220 GA
Medical Physician Assistant 363AM0700X P.A.-1 AL Primary

Addresses

Primary practice location

1538 13TH. Ave
Suite B300
Columbus, GA 31901-3700

Mailing address

1538 13TH. Ave.
Suite B300
Columbus, GA 31901-3700
Phone (706) 321-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02220GAMDPhysician Assistant
P.A.-1ALMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508928474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 13TH. AVE.",
            "address_2": "SUITE B300",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013700",
            "telephone_number": "706-321-9300",
            "fax_number": "706-321-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH. AVE",
            "address_2": "SUITE B300",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319013700",
            "telephone_number": "706-321-9300",
            "fax_number": "706-321-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUCOIN",
        "first_name": "HENRY",
        "credential": "P.A.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "02220",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AL",
            "license": "P.A.-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.