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

Gary M Dutka, PA-C

Individual provider Medical Physician Assistant · NPI 1902871445

Gary M Dutka, PA-C is a Physician Assistant in Saint Marys, Georgia. Qualified in 2004, 22 years ago. Practices with Ergent Med Prime, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2000 Dan Proctor Dr
Saint Marys, GA 31558-3810
Phone: (912) 466-7000
Fax: (919) 477-5470
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 004291 (GA)

Record details

NPI number1902871445
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2006
Last updated in NPPESAugust 6, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ergent Med Prime — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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