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

Cassie Breanna Ilyasova, PA-C

Individual provider Physician Assistant · NPI 1154665909

Cassie Breanna Ilyasova, PA-C is a Physician Assistant in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

504 Redmond Rd NW
Rome, GA 30165-1416
Phone: (762) 235-3130
Fax: (706) 290-2721
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7137 (GA)

Record details

NPI number1154665909
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2012
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023

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