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

Mary Malissa Osborne, PA-C

Individual provider Physician Assistant · NPI 1336491711

Mary Malissa Osborne, PA-C is a Physician Assistant in Gainesville, Georgia. Graduated from Medical College of Georgia School of Medicine in 2012, 14 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
14
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2012
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

1315 Jesse Jewell Pkwy NE Ste 200
Gainesville, GA 30501-3822
Phone: (770) 219-9300
Fax: (770) 219-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006618 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 006618 (GA)

Record details

NPI number1336491711
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 9, 2012
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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