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

Elise Raquel Vazquez, PA

Individual provider Physician Assistant · NPI 1679333199

Elise Raquel Vazquez, PA is a Physician Assistant in Gainesville, Georgia. Qualified in 2024, 2 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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

2324 Limestone Overlook
Gainesville, GA 30501-7443
Phone: (770) 536-8109
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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 12370 (GA)

Record details

NPI number1679333199
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 21, 2024
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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