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DUANE L PRICKETT SA-C, RSA, LSA
NPI 1215084959
Physician Assistant - Surgical in Atlanta, GA

Active since January 04, 2007
1579 MONROE DR NE STE F, ATLANTA, GA 30324(404) 788-1321 Get Directions Write a Review

NPPES record last updated: December 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Duane L Prickett Sa-c, Rsa, Lsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUANE L PRICKETT SA-C, RSA, LSA (NPI 1215084959) is an individual surgical provider in Atlanta, Georgia and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1215084959
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDUANE L PRICKETTCredential: SA-C, RSA, LSA
Location Address1579 MONROE DR NE STE FAtlanta, GA 30324-5022
Mailing Address1579 Monroe Dr Ne Ste F, Unit 711Atlanta, GA 30324-5022 · (404) 788-1321
Phone(404) 788-1321
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 5, 2013
✔ NPI 1215084959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 02-151 (GA)
1579 MONROE DR NE STE F, Atlanta, GA 30324
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Other Identifiers 3

Other02-151Surgical Assistant-certified
Other238.000307IL · Registration
OtherSA.0001689CO · Colorado State License

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY NEIL MEISEL MD
Psychiatry & Neurology (Neurology)
1579 MONROE DR NE STE F, STE F 602
ATLANTA, GA 30324
Fulton County (215) 243-2938

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 Duane Prickett's NPI number?

The NPI number for Duane Prickett is 1215084959. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Duane Prickett located?

Duane Prickett practices at 1579 Monroe Dr NE Ste F, Atlanta, GA 30324. The listed phone number is (404) 788-1321.

What is Duane Prickett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Duane Prickett was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.