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

Katie Jo Wacker, PA-C

Individual provider Surgical Physician Assistant · NPI 1144796210

Katie Jo Wacker, PA-C is a Surgical Physician Assistant in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2018.

Licensed in
GA
In the registry since
2018
Specialties on file
2
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

1211 Sherwood Park Dr NE Ste A
Gainesville, GA 30501-3444
Phone: (770) 219-3202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 009076 (GA)

Record details

NPI number1144796210
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2018
Last updated in NPPESMarch 28, 2019

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