Colleen Michele Dacosta
Colleen Michele Dacosta is a Physician Assistant in Atlanta, Georgia. Graduated from Emory University School of Medicine in 2023, 3 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 3
- Trained at
- Emory University School of Medicine
- Licensed in
- GA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1462 Clifton Rd NE Ste 280Atlanta, GA 30322-1063
Phone: (404) 727-7825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X (GA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1326761495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 22, 2022 |
| Last updated in NPPES | February 29, 2024 |
| Certification date | February 29, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2023 (3 years in practice) |
| Group practice | The Emory Clinic Inc — 3500 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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