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

Colleen Marie Kerrigan, PA

Individual provider Medical Physician Assistant · NPI 1679137038

Colleen Marie Kerrigan, PA is a Medical Physician Assistant in Vidalia, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
Specialties on file
2
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

303 Harris Industrial Blvd Ste 5
Vidalia, GA 30474-8854
Phone: (770) 710-6712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Meadows Pkwy, Vidalia, GA 30474-8759 — (912) 535-5555

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9282 (GA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1679137038
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2019
Last updated in NPPESJuly 3, 2019

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