ELMAN OTNIEL GONZALES HERNANDEZ PA
NPI 1770273385
Physician Assistant - Medical in Austell, GA

Q: What is Elman Gonzales Hernandez's NPI number?

The NPI number for Elman Gonzales Hernandez is 1770273385. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Q: What is Elman Gonzales Hernandez's specialty?

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

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment

2615 E WEST CONNECTOR STE 106, AUSTELL, GA 30106(770) 941-0010(770) 941-0154 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, May 9, 2023 (2 updates tracked since 2023).

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About Elman Otniel Gonzales Hernandez Pa NPPES

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

ELMAN OTNIEL GONZALES HERNANDEZ PA (NPI 1770273385) is an individual medical provider in Austell, Georgia, licensed in Georgia (12891) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770273385

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameELMAN OTNIEL GONZALES HERNANDEZCredential: PA

Location Address2615 E WEST CONNECTOR STE 106Austell, GA 30106-6854

Mailing Address804 Snapdragon RdSevierville, TN 37876-5830 · (865) 384-1458

Phone(770) 941-0010

Fax(770) 941-0154

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMay 9, 2023

Last NPPES UpdateMay 6, 20252 updates tracked since enumeration

NPPES CertifiedMay 6, 2025

✔ NPI 1770273385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363AM0700X

License✔ Licensed in GA · 12891

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2615 E WEST CONNECTOR STE 106, Austell, GA 30106

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Secondary Practice Location 1

Location 1720 Westview Dr SW, AtlantaAtlanta, GA 30310-3031 · Phone (404) 756-1959

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Elman Otniel Gonzales Hernandez Pa 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 ID4082126784

PECOS Enrollment IDI20250626001005

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.

Other Providers at the Same Location NPPES 4

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

TRUC MY THI DAO PA-C

Physician Assistant

2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106

Cobb County (770) 941-0010

VANESSA CASTRO

Physician Assistant (Medical)

2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106

Cobb County (770) 941-0010

SHREE YAMUNA MAHARANIJI,PC

Clinic/Center

2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106

Cobb County (770) 941-0010

JOY CHIDINMA EZUMA

Nurse Practitioner

2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106

Cobb County (770) 941-0010

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 Elman Gonzales Hernandez's NPI number?

The NPI number for Elman Gonzales Hernandez is 1770273385. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Elman Gonzales Hernandez located?

Elman Gonzales Hernandez practices at 2615 E West Connector Ste 106, Austell, GA 30106. The listed phone number is (770) 941-0010.

What is Elman Gonzales Hernandez's specialty?

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

Is Elman Gonzales Hernandez enrolled in Medicare?

Yes. Elman Gonzales Hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elman Gonzales Hernandez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Elman Gonzales Hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elman Gonzales Hernandez was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.