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

Ashley Chadwick Dieterich, PA-C

Individual provider Physician Assistant · NPI 1962816132

Ashley Chadwick Dieterich, PA-C is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2014, 12 years ago. Practices with Gwinnett Emergency Specialists Observation Services LLC, a 38-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone: (678) 312-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7182 (GA)

Record details

NPI number1962816132
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 16, 2014
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Gwinnett Emergency Specialists Observation Services Llc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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