1. Home
  2. Directory
  3. Georgia
  4. Waycross
  5. Physician Assistant
  6. NPI Profile

MEKEDESE TESFAYE PA-C
NPI 1912322371
Physician Assistant - Medical in Waycross, GA

Active since February 21, 2014
1617 SATILLA BLVD, WAYCROSS, GA 31501(404) 642-7838 Get Directions Write a Review

NPPES record last updated: February 21, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mekedese Tesfaye Pa-c NPPES

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

MEKEDESE TESFAYE PA-C (NPI 1912322371) is an individual medical provider in Waycross, Georgia, licensed in Georgia (006805) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1912322371
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMEKEDESE TESFAYECredential: PA-C
Location Address1617 SATILLA BLVDWaycross, GA 31501-5027
Mailing Address3275 Harris RdWaycross, GA 31503-8956 · (912) 287-5801
Phone(404) 642-7838
Sole ProprietorYes
Enumeration DateFebruary 21, 2014
✔ NPI 1912322371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 006805
1617 SATILLA BLVD, Waycross, GA 31501
Open in Google Maps ↗

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 Mekedese Tesfaye's NPI number?

The NPI number for Mekedese Tesfaye is 1912322371. It was assigned to this individual provider in the NPPES registry on February 21, 2014.

Where is Mekedese Tesfaye located?

Mekedese Tesfaye practices at 1617 Satilla Blvd, Waycross, GA 31501. The listed phone number is (404) 642-7838.

What is Mekedese Tesfaye's specialty?

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

When was this NPI record last updated?

The NPPES record for Mekedese Tesfaye was last updated on February 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.