BRIANNA FEDORICH PA-C
NPI 1215419775
Physician Assistant - Surgical in Atlanta, GA
About Brianna Fedorich Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIANNA FEDORICH PA-C (NPI 1215419775) is an individual surgical provider in Atlanta, Georgia, licensed in Georgia (12073) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brianna Fedorich Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30342
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215419775, enumerated as an "individual" on August 31, 2018.
The provider is located at 5461 MERIDIAN MARK RD ATLANTA, GA 30342 and the phone number is (404) 785-6895.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.