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

Hannah Wesolowski, PAC

Individual provider Surgical Physician Assistant · NPI 1972167260

Hannah Wesolowski, PAC is a Physician Assistant in Atlanta, Georgia. Qualified in 2020, 6 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1110 W Peachtree St NW Ste 950
Atlanta, GA 30309-3609
Phone: (404) 847-4210
Fax: (404) 847-4211
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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 9833 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 9833 (GA)

Record details

NPI number1972167260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESMay 11, 2022
Certification dateAugust 25, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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