Individual provider Active NPI

Raffaela R Isett, P.A.

  • Medical Physician Assistant
  • Newnan, GA
National Provider Identifier
1619024692
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5860 Issued in GA
Practice address
3231 Highway 34 E Ste C
Newnan, GA 30265-6407
Phone
(678) 971-4167
Fax
(833) 989-2501
NPI assigned
Jan 4, 2007
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 5860 GA Primary

Addresses

Primary practice location

3231 Highway 34 E Ste C
Newnan, GA 30265-6407

Mailing address

601 Broad St SE Ste B
Gainesville, GA 30501-3718
Phone (678) 971-4167

Other practice location 1

1233 Highway 54 W Ste 200
Fayetteville, GA 30214-4542
Phone (404) 351-7654

Other practice location 2

3579 Highway 138 SE Ste 204
Stockbridge, GA 30281-6807
Phone (404) 351-7654

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
I20120914000697 GA Practitioner - Physician Assistant 3375791403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baltimore Medical College, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1233 Hwy 54 W
Suite 200
Fayetteville, GA 30214-4542
Phone (678) 971-4167

3200 Shakerag HL
Suite C
Peachtree City, GA 30269-6524
Phone (770) 487-0760

3231 Hwy 34 E
Newnan, GA 30265-6407
Phone (678) 971-4167

3579 Hwy 138 SE
Suite 204
Stockbridge, GA 30281-6807
Phone (678) 971-4167

601 Broad St SE
Gainesville, GA 30501-3718
Phone (678) 971-4167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5860GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Pain and Spine Associates, LLC CurrentSince Apr 15, 2025 Accepting new patients
Southern Pain and Spine Associates LLC PastSince May 16, 2022 Accepting new patients
Pain Consultants of Atlanta LLC PastSince Mar 22, 2020 Accepting new patients

Locations

1233 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone 6789714167160

1233 Highway 54 W
Ste 207
Fayetteville, GA 30214

601 Broad St SE
Ste B
Gainesville, GA 30501
Phone (678) 989-1515

3231 Highway 34 E
Ste C
Newnan, GA 30265
Phone (770) 251-8940

3579 Highway 138 SE
Ste 204
Stockbridge, GA 30281
Phone (404) 996-9500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22722/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGACD
  • Direct secure messaging: raffaela.isett.1@22722.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1619024692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BROAD ST SE STE B",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013718",
            "telephone_number": "678-971-4167",
            "fax_number": "833-989-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 HIGHWAY 34 E STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656407",
            "telephone_number": "678-971-4167",
            "fax_number": "833-989-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1233 Highway 54 W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144542",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3579 Highway 138 SE Ste 204",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302816807",
            "country_code": "US",
            "telephone_number": "404-351-7654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISETT",
        "first_name": "RAFFAELA",
        "middle_name": "R",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "5860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.