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: July 19, 2026.

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

  • Individual
  • Male
  • Physician Assistant

About ETHAN IRVIN

This page provides the complete NPI Profile along with additional information for Ethan Irvin, a primary care provider established in Robins Afb, Georgia with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1538834619 assigned on August 2021. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1538834619 Verify this NPI
Provider Name
ETHAN IRVIN PHYSICIAN ASSISTANT
Gender
Male
Entity Type
Individual
Location Address
655 7TH ST BLDG 700 ROBINS AFB, GA 31098
Location Phone
(478) 497-7569
Mailing Address
2803 MEDICAL CAMPUS DR GOLDSBORO, NC 27531
Mailing Phone
(919) 722-1802
Is Sole Proprietor?
Yes
Enumeration Date
08-11-2021
Last Update Date
07-28-2023
Code Navigator

A primary care provider (PCP) like Ethan Irvin sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171000000XOther Service Providers

Military Health Care Provider

 

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Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Social Worker (Clinical)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Dentist
655 7TH ST BLDG 700, 78 MDG/SDG
ROBINS AFB, GA 31098
Clinic/Center (VA)
655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
Psychologist (Clinical)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Military Health Care Provider (Independent Duty Medical Technicians)
655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
Family Medicine
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Nurse Practitioner (Women's Health)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Nurse Practitioner (Family)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Dentist (General Practice)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Family Medicine
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Family Medicine
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Optometrist
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Military Health Care Provider (Independent Duty Medical Technicians)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Physician Assistant
655 7TH ST BLDG 700, 78 MDG
ROBINS AFB, GA 31098
Physician Assistant
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Military/U.S. Coast Guard Pharmacy
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
Nurse Practitioner (Psychiatric/Mental Health)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098
General Practice
655 7TH ST BLDG 700
WARNER ROBINS, GA 31098
Social Worker (Clinical)
655 7TH ST BLDG 700
ROBINS AFB, GA 31098

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538834619, enumerated as an "individual" on August 11, 2021.

The provider is located at 655 7TH ST BLDG 700 ROBINS AFB, GA 31098 and the phone number is (478) 497-7569.

Physician Assistant with taxonomy code 363A00000X.