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

James Matthew Loutzenhiser, PA

Individual provider Surgical Physician Assistant · NPI 1477073633

James Matthew Loutzenhiser, PA is a Physician Assistant in Atlanta, Georgia. Graduated from Mercer University School of Medicine in 2017, 9 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
9
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2017
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

980 Johnson Ferry Rd Ste 170
Atlanta, GA 30342-1607
Phone: (404) 300-2140
Fax: (404) 300-2240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 8371 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 8371 (GA)

Record details

NPI number1477073633
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 20, 2017
Last updated in NPPESFebruary 11, 2024
Certification dateFebruary 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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