John Michael Dorough, AA

Individual provider Physician Assistant · NPI 1063460236

John Michael Dorough, AA is an Anesthesiology Assistant in Saint Simons Island, Georgia. Qualified in 1987, 39 years ago. Practices with South Georgia Anesthesia Associates, PC, a 28-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying: 39
Licensed in: FL, GA
In the registry since: 2006
Specialties on file: 2

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Practice location Address checks out

161 Raymonds Grant Trce
Saint Simons Island, GA 31522-5393
Phone: (912) 638-9734

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 001777 (GA)
Anesthesiologist Assistant	Taxonomy 367H00000X · Licence AA91 (FL)

Record details

NPI number	1063460236
Entity type	Individual (Type 1)
Gender	Male
Credentials	AA
Sole proprietor	No
NPI enumerated	May 4, 2006
Last updated in NPPES	July 31, 2013
Mailing address	161 Raymonds Grant Trce, Saint Simons Island, GA 31522-5393

Medicare enrollment

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

Medicare specialty	ANESTHESIOLOGY ASSISTANT
Medical school	OTHER
Graduated	1987 (39 years in practice)
Group practice	South Georgia Anesthesia Associates, Pc — 28 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount