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ETHAN IRVIN PHYSICIAN ASSISTANT
NPI 1538834619
Physician Assistant in Robins Afb, GA

Active since August 11, 2021
655 7TH ST BLDG 700, ROBINS AFB, GA 31098(478) 497-7569 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2023, Mar 8, 2023, Aug 12, 2021 (3 updates tracked since 2021).

About Ethan Irvin Physician Assistant NPPES

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

ETHAN IRVIN PHYSICIAN ASSISTANT (NPI 1538834619) is an individual physician assistant in Robins Afb, Georgia and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1538834619
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN IRVINCredential: PHYSICIAN ASSISTANT
Location Address655 7TH ST BLDG 700Robins Afb, GA 31098-2227
Mailing Address2803 Medical Campus DrGoldsboro, NC 27531 · (919) 722-1802
Phone(478) 497-7569
Sole ProprietorYes
Enumeration DateAugust 11, 2021
Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1538834619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
655 7TH ST BLDG 700, Robins Afb, GA 31098
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Other Providers at the Same Location NPPES 20

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

DR. STEPHANIE IRENE KING OD
Optometrist
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Houston County (478) 327-8487
ANDREA RUSSO PA
Physician Assistant
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Houston County (478) 327-7850
BRITTANY WHITE
Preventive Medicine (Occupational Medicine)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Houston County (478) 926-9933
KYLER SAWTELLE
Military Health Care Provider (Independent Duty Medical Technicians)
655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
Houston County (478) 327-8475
MR. ROBERT MICHAEL DESANTIS IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Houston County (478) 222-4811
REID AVERY WINDMILLER MD
Family Medicine
655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
Houston County (478) 327-7850
AURIANNA N LIVELY LCSW
Social Worker (Clinical)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Houston County (478) 327-8487
78TH MEDGRP-ROBINS
Military/U.S. Coast Guard Pharmacy
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Houston County (478) 327-8023

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 Ethan Irvin's NPI number?

The NPI number for Ethan Irvin is 1538834619. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Ethan Irvin located?

Ethan Irvin practices at 655 7th St Bldg 700, Robins Afb, GA 31098. The listed phone number is (478) 497-7569.

What is Ethan Irvin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ethan Irvin was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.