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

Corie Moussignac-Devilme, PAC

Individual provider Physician Assistant · NPI 1720703945

Corie Moussignac-Devilme, PAC is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2023, 3 years ago. Practices with Gastroenterology Associates of Northern Virginia, LLC, a 97-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2022
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

301 Philip Blvd Ste A
Lawrenceville, GA 30046-8746
Phone: (770) 822-5560
Fax: (770) 822-4989
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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 12121 (GA)

Record details

NPI number1720703945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESFebruary 15, 2024
Certification dateFebruary 15, 2024
Mailing address301 Philip Blvd Ste A, Lawrenceville, GA 30046-8746

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 Gastroenterology Associates Of Northern Virginia, Llc — 97 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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