MR. HORACE MICHAEL DELISSER JR. PA
NPI 1306357256
Physician Assistant - Surgical in Bethlehem, GA

Active since October 18, 2017PECOS Enrolled
426 EXCHANGE BLVD STE 600, BETHLEHEM, GA 30620(770) 848-6190 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2023, Dec 12, 2022, Mar 20, 2019 and 3 more (6 updates tracked since 2017).

About Mr. Horace Michael Delisser Jr. Pa NPPES

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

MR. HORACE MICHAEL DELISSER JR. PA (NPI 1306357256) is an individual surgical provider in Bethlehem, Georgia, licensed in Georgia (11352) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306357256
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. HORACE MICHAEL DELISSER JR.Credential: PA
Location Address426 EXCHANGE BLVD STE 600Bethlehem, GA 30620-1794
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Sole ProprietorNo
Enumeration DateOctober 18, 2017
Last NPPES UpdateJanuary 16, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
NPI 1306357256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in GA · 11352 Licensed in PA · MA059415 Licensed in NJ · 25MP00494800
426 EXCHANGE BLVD STE 600, Bethlehem, GA 30620

Secondary Practice Locations 2

Location 1150 Delsea Dr Ste BSewell, NJ 08080-9478 · Phone (856) 302-0500 · Fax (856) 302-0504
Location 2479 Thomas Jones Way Ste 300Exton, PA 19341-2552 · Phone (610) 280-9999

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Horace Michael Delisser Jr. Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
31 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
19 services18 patients

Other Providers at the Same Location NPPES 3

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

Family Medicine
426 EXCHANGE BLVD STE 600
BETHLEHEM, GA 30620
Family Medicine
426 EXCHANGE BLVD STE 600
BETHLEHEM, GA 30620
Nurse Practitioner (Family)
426 EXCHANGE BLVD STE 600
BETHLEHEM, GA 30620

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 Horace Delisser's NPI number?

The NPI number for Horace Delisser is 1306357256. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Where is Horace Delisser located?

Horace Delisser practices at 426 Exchange Blvd Ste 600, Bethlehem, GA 30620. The listed phone number is (770) 848-6190.

What is Horace Delisser's specialty?

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

Is Horace Delisser enrolled in Medicare?

Yes. Horace Delisser is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Horace Delisser was last updated on January 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.