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

Madison Kae Sowerwine, PA

Individual provider Physician Assistant · NPI 1750044772

Madison Kae Sowerwine, PA is a Physician Assistant in Leesburg, Georgia. Licensed in Arizona. Registered with an NPI since 2021.

Licensed in
AZ
In the registry since
2021
Specialties on file
2
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

1578 US Highway 19 S Apt 2108
Leesburg, GA 31763-5933
Phone: (602) 881-2855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 9436 (AZ)

Record details

NPI number1750044772
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2021
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

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