STANLEY A AGBULOS PA-C, AA-C
NPI 1861477648
Physician Assistant in Waycross, GA

Active since December 14, 2005
410 DARLING AVE, WAYCROSS, GA 31501(912) 338-6511(912) 338-6512 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stanley A Agbulos Pa-c, Aa-c NPPES

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

STANLEY A AGBULOS PA-C, AA-C (NPI 1861477648) is an individual physician assistant in Waycross, Georgia, licensed in Georgia (005073) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1861477648
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSTANLEY A AGBULOSCredential: PA-C, AA-C
Location Address410 DARLING AVEWaycross, GA 31501-5246
Mailing AddressPo Box 18824Greensboro, NC 27419-8824 · (336) 553-1659 · Fax (336) 553-3994
Fax(912) 338-6512
Sole ProprietorNo
Enumeration DateDecember 14, 2005
Last NPPES UpdateFebruary 28, 2011
NPI 1861477648 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
Licenses Licensed in GA · 005073 Licensed in CA · PA16336
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 ListedAnesthesiologist AssistantTaxonomy 367H00000X · License 005073 (GA)
410 DARLING AVE, Waycross, GA 31501

Other Identifiers 6

Medicare PIN32BBCGDGA
OtherP00410142GA · Rrb
MedicaidPA16336CA
Medicaid259983019AGA
Medicare PINP00410142GA
Medicare ID-Type UnspecifiedOPA163360

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.

Hospitalist
410 DARLING AVE
WAYCROSS, GA 31501
Pathology (Anatomic Pathology & Clinical Pathology)
410 DARLING AVE
WAYCROSS, GA 31501
Nurse Anesthetist, Certified Registered
410 DARLING AVE
WAYCROSS, GA 31501
Anesthesiology
410 DARLING AVE, ANESTHESIA DEPT
WAYCROSS, GA 31501
Physician Assistant (Medical)
410 DARLING AVE
WAYCROSS, GA 31501
Emergency Medicine
410 DARLING AVE
WAYCROSS, GA 31501
Nurse Anesthetist, Certified Registered
410 DARLING AVE
WAYCROSS, GA 31501
Emergency Medicine
410 DARLING AVE
WAYCROSS, GA 31501

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 Stanley Agbulos's NPI number?

The NPI number for Stanley Agbulos is 1861477648. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Stanley Agbulos located?

Stanley Agbulos practices at 410 Darling Ave, Waycross, GA 31501. The listed phone number is (912) 338-6511.

What is Stanley Agbulos'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 Stanley Agbulos was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.