Jack Hanson Anzilotti, PAC
Jack Hanson Anzilotti, PAC is a Physician Assistant in Atlanta, Georgia. Qualified in 2019, 7 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Georgia.
- Years since qualifying
- 7
- Licensed in
- FL, GA
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
980 Johnson Ferry Rd Ste 800Atlanta, GA 30342-1608
Phone: (404) 252-9063
Fax: (404) 252-0873
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 89 W Copeland Dr, Orlando, FL 32806-2002 — (321) 841-7550
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 12988 (GA) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA9113011 (FL) |
Record details
| NPI number | 1730711151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | February 5, 2020 |
| Last updated in NPPES | July 30, 2025 |
| Certification date | July 30, 2025 |
| Mailing address | 980 Johnson Ferry Rd, Atlanta, GA 30342-1626 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Northside Surgical Professional Services Llc — 368 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |
Other providers in Atlanta
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Beniam Tefera Abebe, PA-C
5730 Glenridge Dr Ste 200, Atlanta, GA 30328-5579 · (404) 252-5206
-
Academy Surgical Assistants, LLC
7225 Northgreen Dr, Atlanta, GA 30328-1401 · (404) 425-2480
-
Acclaim Surgical Associates, Inc
960 Johnson Ferry Rd NE Ste 240, Atlanta, GA 30342-1631 · (770) 985-4257
-
Lauren Elizabeth Anthony, PA-C
4684 Roswell Rd, Atlanta, GA 30342-3074 · (404) 367-9005
-
Sarah Elizabeth Apatov, PA-C
5665 Peachtree Dunwoody Rd, Atlanta, GA 30342-1764 · (404) 778-3307
-
Eleazar Baker, SA
8737 Dunwoody Pl Ste 4, Atlanta, GA 30350 · (770) 650-8112
-
Blake Darby Ballard
1462 Clifton Rd NE Ste 280, Atlanta, GA 30322-1063 · (404) 727-7825
-
Maura A Bauman, PAC
975 Johnson Ferry Rd NE Ste 500, Atlanta, GA 30342-1619 · (404) 256-1311