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IRINA SUPRUNIUK PA - C
NPI 1750494308
Physician Assistant in Atlanta, GA

Active since August 17, 2006
35 COLLIER ROAD, SUITE 150, ATLANTA, GA 30309(404) 355-1966(404) 603-2801 Get Directions Write a Review

NPPES record last updated: May 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Irina Supruniuk Pa - C NPPES

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

IRINA SUPRUNIUK PA - C (NPI 1750494308) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (003613) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1750494308
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIRINA SUPRUNIUKCredential: PA - C
Location Address35 COLLIER ROAD, SUITE 150Atlanta, GA 30309
Mailing Address35 Collier Road, Suite 150Atlanta, GA 30309 · (404) 355-1966 · Fax (404) 603-2801
Phone(404) 355-1966
Fax(404) 603-2801
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 14, 2015
✔ NPI 1750494308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 003613
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.
35 COLLIER ROAD, Atlanta, GA 30309
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Other Identifiers 1

Medicare UPINQ71062GA

Other Providers at the Same Location NPPES 2

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

KAREN J. ANDRY DIETITIAN
Dietitian, Registered
35 COLLIER ROAD
ATLANTA, GA 30309
Fulton County (404) 350-7955
EHI PHARMACY SOLUTIONS, LLC.
Non-Pharmacy Dispensing Site
35 COLLIER ROAD, STE. 650
ATLANTA, GA 30309
Fulton County (404) 446-1890

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 Irina Supruniuk's NPI number?

The NPI number for Irina Supruniuk is 1750494308. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Irina Supruniuk located?

Irina Supruniuk practices at 35 Collier Road Suite 150, Atlanta, GA 30309. The listed phone number is (404) 355-1966.

What is Irina Supruniuk'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 Irina Supruniuk was last updated on May 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.