MR. NATHANAEL SHANE HORNSBY CSFA
NPI 1255767950
Physician Assistant - Surgical in Dallas, GA
- Individual
- Male
- Physician Assistant
- Surgical
About NATHANAEL HORNSBY
This page provides the complete NPI Profile along with additional information for Nathanael Hornsby, a provider established in Dallas, Georgia with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1255767950 assigned on September 2013. The practitioner's primary taxonomy code is 363AS0400X. The provider is registered as an individual and his NPI record was last updated May 2026.
- NPI
- 1255767950 Verify this NPI
- Provider Name
- MR. NATHANAEL SHANE HORNSBY CSFA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10175 DALLAS ACWORTH HWY STE 103-14 DALLAS, GA 30132
- Location Phone
- (678) 481-1647
- Mailing Address
- 10175 DALLAS ACWORTH HWY STE 103-14 DALLAS, GA 30132
- Mailing Phone
- (678) 481-1647
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-25-2013
- Last Update Date
- 05-13-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
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Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
DALLAS, GA 30132
DALLAS, GA 30132
DALLAS, GA 30132
DALLAS, GA 30132
DALLAS, GA 30132
DALLAS, GA 30132
DALLAS, GA 30132
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255767950, enumerated as an "individual" on September 25, 2013.
The provider is located at 10175 DALLAS ACWORTH HWY STE 103-14 DALLAS, GA 30132 and the phone number is (678) 481-1647.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
