MR. ANTHONY E. MEDINA
NPI 1174779177
Physician Assistant - Medical in Suwanee, GA
About Mr. Anthony E. Medina NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ANTHONY E. MEDINA (NPI 1174779177) is an individual medical provider in Suwanee, Georgia, licensed in Georgia (006030) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Anthony E. Medina is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SUWANEE, GA 30024
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Anthony Medina's NPI number?
The NPI number for Anthony Medina is 1174779177. It was assigned to this individual provider in the NPPES registry on August 11, 2008.
Where is Anthony Medina located?
Anthony Medina practices at 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024. The listed phone number is (678) 376-1300.
What is Anthony Medina's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Anthony Medina enrolled in Medicare?
Yes. Anthony Medina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Anthony Medina accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Anthony Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Anthony Medina was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Anthony E. Medina · NPI 1174779177
Medical physician in Suwanee, Georgia. Individual provider, active in the CMS NPPES registry since August 11, 2008.
## Identity
- **NPI:** 1174779177 (Entity type: Individual)
- **Enumerated:** August 11, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 006030 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2696 LAWRENCEVILLE SUWANEE RD, Suwanee, GA 30024-2535
- **Phone:** (678) 376-1300 · **Fax:** (678) 514-2936
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Washington School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** May 18, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1174779177) · Data from the CMS NPPES public registry.