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

Katherine R Nealy, PA

Individual provider Physician Assistant · NPI 1427871904

Katherine R Nealy, PA is a Physician Assistant in Athens, Georgia. Qualified in 2025, 1 year ago. Practices with St Mary's Medical Group, Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2024
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

2142 W Broad St Bldg 100 Ste 200
Athens, GA 30606-3509
Phone: (706) 548-6881
Fax: (706) 546-0821
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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 PA13773 (GA)

Record details

NPI number1427871904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice St. Mary'S Medical Group, Inc. — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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