Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abegail Tate Dismukes

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861074338

Abegail Tate Dismukes is a Physician Assistant in Atlanta, Georgia. Qualified in 2021, 5 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

5665 New Northside Dr Ste 320
Atlanta, GA 30328-5834
Phone: (770) 874-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937 — (678) 225-7500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10579 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861074338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2021
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021
Mailing address102 Orchard Cir, Dothan, AL 36305-5814

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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