Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kristal Guadalupe Garcia, PA-C

Individual provider Physician Assistant · NPI 1174352900

Kristal Guadalupe Garcia, PA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2024, 2 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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

1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Phone: (678) 575-3260
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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 12546 (GA)

Record details

NPI number1174352900
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 30, 2024
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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