Matthew Charles Revilla, PA-C
Matthew Charles Revilla, PA-C is a Physician Assistant in Palmetto, Georgia. Qualified in 2019, 7 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 7
- Licensed in
- GA
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
507 Park StPalmetto, GA 30268-1007
Phone: (770) 463-4644
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2584 Patrick Ct Se, Atlanta, GA 30317-3023 — (252) 414-8145
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 9684 (GA) |
|---|---|
| Adult Medicine Physician | Taxonomy 207QA0505X · Licence 9684 (GA) |
Record details
| NPI number | 1821617036 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2020 |
| Last updated in NPPES | August 27, 2021 |
| Certification date | August 27, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | The Emory Clinic Inc — 3500 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |