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

Individual provider Physician Assistant · NPI 1588181135

Mitchell Jordan Treaster, PA-C is a Physician Assistant in Atlanta, Georgia. Qualified in 2017, 9 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
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

1364 Clifton Rd NE
Atlanta, GA 30322
Phone: (404) 778-5975
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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 8557 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1588181135
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 24, 2017
Last updated in NPPESOctober 26, 2017
Mailing address531 Asbury Circle, Suite N340, Atlanta, GA 30322

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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