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

Berta E Booth, PA

Individual provider Physician Assistant · NPI 1609183805

Berta E Booth, PA is a Physician Assistant in Riverdale, Georgia. Graduated from Emory University School of Medicine in 2010, 16 years ago. Practices with Grady Memorial Hospital Corporation, a 363-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6572 River Park Dr Ste 101
Riverdale, GA 30274-2214
Phone: (770) 996-6699
Fax: (770) 692-2669
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005897 (GA)

Record details

NPI number1609183805
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 9, 2010
Last updated in NPPESNovember 23, 2015
Mailing address119 Ambulance Dr 202, Carrollton, GA 30117-3857

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Grady Memorial Hospital Corporation — 363 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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