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

Individual provider Physician Assistant · NPI 1457435133

Bruno Grillo, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 1995, 31 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
31
Licensed in
GA
In the registry since
2006
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

55 Whitcher St NE Ste 350
Marietta, GA 30060-1155
Phone: (770) 424-6893
Fax: (770) 424-9095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004809 (GA)

Record details

NPI number1457435133
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESJune 27, 2012
Mailing address55 Whitcher Street, Suite 350, Wellstar Cardiovascular Medicine, Marietta, GA 30060-9408

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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