Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Danielle Ashley Depeau-Wilson, PA-C

Individual provider Medical Physician Assistant · NPI 1114300977

Danielle Ashley Depeau-Wilson, PA-C is a Physician Assistant in Johns Creek, Georgia. Qualified in 2015, 11 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia and New York.

Years since qualifying
11
Licensed in
GA, NY
In the registry since
2015
Specialties on file
2
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

6335 Hospital Pkwy Ste 110
Johns Creek, GA 30097-1550
Phone: (404) 778-8240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11006 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 018812 (NY)

Record details

NPI number1114300977
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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