GEORGINA DANIELLE DOUMIT ISHAK PA-C
NPI 1437613361
Physician Assistant - Medical in Raleigh, NC

Q: What is Georgina Ishak's NPI number?

The NPI number for Georgina Ishak is 1437613361. It was assigned to this individual provider in the NPPES registry on January 24, 2019.

Q: What is Georgina Ishak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Georgina Ishak was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 24, 2019PECOS EnrolledAccepts Medicare Assignment

815 SPRINGFIELD COMMONS DR, RALEIGH, NC 27609(919) 235-1400 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Jan 30, 2019, Jan 24, 2019 (3 updates tracked since 2019).

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About Georgina Danielle Doumit Ishak Pa-c NPPES

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

GEORGINA DANIELLE DOUMIT ISHAK PA-C (NPI 1437613361) is an individual medical provider in Raleigh, North Carolina, licensed in North Carolina (0010-08703) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1437613361

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameGEORGINA DANIELLE DOUMIT ISHAKCredential: PA-C

Location Address815 SPRINGFIELD COMMONS DRRaleigh, NC 27609-8529

Mailing AddressPo Box 602195Charlotte, NC 28260-2195 · (919) 350-0351 · Fax (919) 350-7687

Phone(919) 235-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 24, 2019

Last NPPES UpdateOctober 12, 20233 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1437613361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NC · 0010-08703

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-08703 (NC)

815 SPRINGFIELD COMMONS DR, Raleigh, NC 27609

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Other Identifiers 1

Medicaid1437613361NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Georgina Danielle Doumit Ishak Pa-c 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.

PECOS PAC ID345581948

PECOS Enrollment IDI20190409001015

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 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.

19 services17 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340069

Location3000 New Bern AveRaleigh, NC 27610 · Wake County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 5

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

JORDAN NICHOLAS DE LAY PA-C

Physician Assistant (Medical)