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RAVEN WEST PA-C
NPI 1912696717
Physician Assistant in Atlanta, GA

Active since May 05, 2023PECOS EnrolledAccepts Medicare Assignment
720 WESTVIEW DR SW, ATLANTA, GA 30310(615) 738-7516 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 25, 2025, May 5, 2023 (2 updates tracked since 2023).

About Raven West Pa-c NPPES

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

RAVEN WEST PA-C (NPI 1912696717) is an individual physician assistant in Atlanta, Georgia, licensed in Georgia (12956) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Morehouse School Of Medicine (2024).

NPPES Registry Identity

NPI1912696717
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRAVEN WESTCredential: PA-C
Location Address720 WESTVIEW DR SWAtlanta, GA 30310-1458
Mailing Address763 Plantation WayGallatin, TN 37066-7495 · (615) 738-7516
Phone(615) 738-7516
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2024
Enumeration DateMay 5, 2023
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1912696717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 12956
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 · Athletic TrainerTaxonomy 2255A2300X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
720 WESTVIEW DR SW, Atlanta, GA 30310
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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

Raven West Pa-c 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 ID5991220485
PECOS Enrollment IDI20250417000096
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRYAN OSAYAMHEN OKOSUN
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
UGOCHI GLADYS ANANABA
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
DR. THEODORA CHIDERA ABAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1400
DR. ALEX WALEED MOHAMMAD ALQUDAH MD
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1341
YOG VAGHANI
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
BRADFORD ZACHARY GRANT
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
NIRVANA ALLISON DURBAL
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 752-1500
IVANNA ALEXIS WARD DO
Student in an Organized Health Care Education/Training Program
720 WESTVIEW DR SW
ATLANTA, GA 30310
Fulton County (404) 756-1383

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 Raven West's NPI number?

The NPI number for Raven West is 1912696717. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Raven West located?

Raven West practices at 720 Westview Dr SW, Atlanta, GA 30310. The listed phone number is (615) 738-7516.

What is Raven West's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Raven West enrolled in Medicare?

Yes. Raven West 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.

When was this NPI record last updated?

The NPPES record for Raven West was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.