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

Individual provider Physician Assistant · NPI 1174887822

Eva Avino Willauer, PA-C is a Physician Assistant in Canton, Georgia. Qualified in 2012, 14 years ago. Practices with Ascend Medical Georgia PC, a 25-clinician group and accepts Medicare assignment. Licensed in Georgia and New Jersey.

Years since qualifying
14
Licensed in
GA, NJ
In the registry since
2012
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

460 Northside Cherokee Blvd Ste 150
Canton, GA 30115-8018
Phone: (470) 639-6250
Fax: (770) 345-0712
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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 8488 (GA)
Physician Assistant Taxonomy 363A00000X (NJ)

Record details

NPI number1174887822
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2012
Last updated in NPPESMay 7, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ascend Medical Georgia Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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