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

Individual provider Medical Physician Assistant · NPI 1417952433

John Carmen Dercola, PA is a Physician Assistant in Marietta, Georgia. Graduated from Hahnemann University College of Medicine in 1985, 41 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
41
Trained at
Hahnemann University College of Medicine
Licensed in
GA
In the registry since
2005
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

55 Whitcher St NE Ste 350
Marietta, GA 30060-1155
Phone: (770) 424-6893
Fax: (770) 528-9926
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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 002707 (GA)

Record details

NPI number1417952433
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 16, 2005
Last updated in NPPESJanuary 2, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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