Individual provider Active NPI

Barry Christopher Quesnel, PA

  • Physician Assistant
  • Macon, GA
National Provider Identifier
1720055643
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003555 Issued in GA
Practice address
682 Hemlock St
Ste 100
Macon, GA 31201-6883
Phone
(478) 633-8682
Fax
(478) 633-8698
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 003555 GA
Physician Assistant 363A00000X 003555 GA Primary

Addresses

Primary practice location

682 Hemlock St
Ste 100
Macon, GA 31201-6883

Mailing address

598 3Rd St
Macon, GA 31201-3357
Phone (478) 633-6706

Other identifiers 1

IdentifierTypeStateIssuer
100002652BMedicaidGA

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
I20040623001319 GA Practitioner - Physician Assistant 6204811193 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003555GAMDOtolaryngology Physician
3555GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Department Services, P.C. Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Georgia Em-I Medical Services PC Emergency Medicine CurrentSince Sep 1, 2009 Accepting new patients
Physicians Care Center LLC Past Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
Health Services of Central Georgia, Inc PastSince Jun 1, 2004 Accepting new patients

Locations

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

Organizations & group practices 7

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1720055643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 3RD ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013357",
            "telephone_number": "478-633-6706",
            "fax_number": "478-633-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 HEMLOCK ST",
            "address_2": "STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016883",
            "telephone_number": "478-633-8682",
            "fax_number": "478-633-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUESNEL",
        "first_name": "BARRY",
        "middle_name": "CHRISTOPHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "003555",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002652B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.