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

Cassidy Rose Heflin, PA

Individual provider Physician Assistant · NPI 1043956634

Cassidy Rose Heflin, PA is a Physician Assistant in Lawrenceville, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2022, 4 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

631 Professional Dr Ste 170
Lawrenceville, GA 30046-3392
Phone: (678) 312-2663
Fax: (770) 962-8587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2325 Roswell Rd, Marietta, GA 30062-4782 — (470) 601-7810

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11240 (GA)

Record details

NPI number1043956634
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 7, 2022
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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