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STILLWELL MEDICAL GROUP
NPI 1659414175
Physician Assistant in Loganville, GA

Active since February 14, 2007
4160 LOGAN DR UNIT 1596, LOGANVILLE, GA 30052(678) 557-0207 Get Directions Write a Review

NPPES record last updated: February 4, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2016, Jan 20, 2016 (2 updates tracked since 2016).

About Stillwell Medical Group NPPES

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

STILLWELL MEDICAL GROUP (NPI 1659414175) is a healthcare organization registered as a physician assistant in Loganville, Georgia and active in the NPI registry since February 2007. The organization lists Latondra Denise Barker, Manager, as its authorized official.

NPPES Registry Identity

NPI1659414175
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameSTILLWELL MEDICAL GROUP
Location Address4160 LOGAN DR UNIT 1596Loganville, GA 30052-9516
Mailing Address4160 Logan Dr #1596Loganville, GA 30052
Phone(678) 557-0207
Organization SubpartNo
Authorized OfficialLatondra Denise BarkerManager · (678) 557-0207
Enumeration DateFebruary 14, 2007
Last NPPES UpdateFebruary 4, 20162 updates tracked since enumeration
✔ NPI 1659414175 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
License✔ Licensed in GA · 3135
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 ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X
4160 LOGAN DR UNIT 1596, Loganville, GA 30052
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Stillwell Medical Group's NPI number?

The NPI number for Stillwell Medical Group is 1659414175. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Stillwell Medical Group located?

Stillwell Medical Group is located at 4160 Logan Dr Unit 1596, Loganville, GA 30052. The listed phone number is (678) 557-0207.

What is Stillwell Medical Group'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 Stillwell Medical Group was last updated on February 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.