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

Celia Kay Fakhouri, PA-C

Individual provider Physician Assistant · NPI 1255768073

Celia Kay Fakhouri, PA-C is a Physician Assistant in Prescott, Arizona. Qualified in 2013, 13 years ago. Practices with Privia Medical Group Arizona, LLC, a 96-clinician group and accepts Medicare assignment. Licensed in Arizona, Colorado, Georgia and Louisiana and 4 more.

Years since qualifying
13
Licensed in
AZ, CO, GA, LA, OH, OK
In the registry since
2013
Specialties on file
9
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

3623 Crossings Dr Ste 206
Prescott, AZ 86305-7101
Phone: (866) 849-0692
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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 5561 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 14287424-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 14054 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0009863 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 50.010169RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence PA20234 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 5912 (OK)
Physician Assistant Taxonomy 363A00000X · Licence 350760 (LA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X · Licence 7047150001 (AZ)

Record details

NPI number1255768073
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2013
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Privia Medical Group Arizona, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Prescott