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

Kevin Clark Robertson, PAC

Individual provider Physician Assistant · NPI 1295955441

Kevin Clark Robertson, PAC is a Physician Assistant in Atlanta, Georgia. Qualified in 2003, 23 years ago. Practices with Peachtree Orthopaedic Clinic PA, a 132-clinician group and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
23
Licensed in
CA, GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476
Phone: (404) 355-0743
Fax: (855) 273-3558
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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 10158 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA17110 (CA)

Record details

NPI number1295955441
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 30, 2007
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address2001 Peachtree Rd Ne Ste 705, Atlanta, GA 30309-1476

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Peachtree Orthopaedic Clinic Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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