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

Individual provider Physician Assistant · NPI 1861957169

Ethan D Brubaker, PA-C is a Physician Assistant in Columbus, Georgia. Qualified in 2019, 7 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 5 locations and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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

6262 Veterans Pkwy
Columbus, GA 31909-3540
Phone: (706) 324-6661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 512 N Shady Ln, Dothan, AL 36303-2991 — (334) 699-5747
  • 107 Calumet Center Rd, Lagrange, GA 30241-6705 — (706) 884-3274
  • 117 Oakland Pkwy, Leesburg, GA 31763-7201 — (229) 420-1839
  • 4340 Kings Way, Valdosta, GA 31602-6921 — (229) 333-9736

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861957169
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 31, 2019
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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