NPI 1073345187 · live from the CMS NPI Registry
Julia Adcock
Physician Assistant in Decatur, GA. National Provider Identifier 1073345187, active.
NPI record
| NPI | 1073345187 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2701 N Decatur Rd, Decatur, GA 30033 |
| Practice phone | 404-501-1000 |
| Mailing address | 1601 Cummins Dr Ste D, Modesto, CA 95358 |
| Enumerated | August 16, 2024 |
| Last updated | September 18, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 13909 (GA) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.