NPI 1003785577 · live from the CMS NPI Registry
Ageless Women'S Health Ga LLC
Physician Assistant, Medical in Peachtree City, GA. National Provider Identifier 1003785577, active.
NPI record
| NPI | 1003785577 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 1325 Commerce Dr Ste 300, Peachtree City, GA 30269 |
| Practice phone | 602-796-2559 |
| Mailing address | 10501 W Gowan Rd Ste 200, Las Vegas, NV 89129 |
| Enumerated | November 3, 2025 |
| Last updated | January 9, 2026 |
| Authorized official | Amanda Wilkinson, Business Operations Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.