Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Connor Paul Donaldson, PA-C

Individual provider Physician Assistant · NPI 1396522298

Connor Paul Donaldson, PA-C is a Physician Assistant in Shreveport, Louisiana. Qualified in 2023, 3 years ago. Practices with Professional Pediatrics, LLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023
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

2751 Albert L Bicknell Dr
Shreveport, LA 71103-3920
Phone: (318) 212-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1396522298
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Professional Pediatrics, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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