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

Elman Otniel Gonzales Hernandez, PA

Individual provider Athletic Trainer · NPI 1770273385

Elman Otniel Gonzales Hernandez, PA is a Physician Assistant in Austell, Georgia. Qualified in 2024, 2 years ago. Practices with Shree Yamuna Maharaniji, PC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2023
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2615 E West Connector Ste 106
Austell, GA 30106-6854
Phone: (770) 941-0010
Fax: (770) 941-0154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Westview Dr Sw, Atlanta, GA 30310-3031 — (404) 756-1959

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 12891 (GA)
Athletic Trainer Taxonomy 2255A2300X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770273385
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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 Shree Yamuna Maharaniji,Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Austell