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

Individual provider Physician Assistant · NPI 1083335624

Hannah Katherine Deworth, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2022, 4 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022
Specialties on file
2
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

7777 Hennessy Blvd Ste 1000
Baton Rouge, LA 70808-4370
Phone: (225) 767-3900
Fax: (225) 766-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 333707 (LA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083335624
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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