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

Katie Fountain, PA-C

Individual provider Physician Assistant · NPI 1548671472

Katie Fountain, PA-C is a Physician Assistant in San Francisco, California. Qualified in 2014, 12 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, California, Florida and Georgia and 2 more.

Years since qualifying
12
Licensed in
AL, CA, FL, GA, NC, SC
In the registry since
2014
Specialties on file
6
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1825 Martha Berry Blvd Nw, Rome, GA 30165-1625 — (706) 295-5331

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 67837 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA9121303 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0010-08451 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 007228 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA.1620 (AL)
Physician Assistant Taxonomy 363A00000X · Licence 6001 (SC)

Record details

NPI number1548671472
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 14, 2014
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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