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

Mr. Anthony E. Medina

Individual provider Mental Health Counselor · NPI 1174779177

Mr. Anthony E. Medina is a Physician Assistant in Suwanee, Georgia. Graduated from University of Washington School of Medicine in 2010, 16 years ago. Practices with Dawoud, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia and Washington.

Years since qualifying
16
Trained at
University of Washington School of Medicine
Licensed in
GA, WA
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2696 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2535
Phone: (678) 376-1300
Fax: (678) 514-2936
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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 006030 (GA)
Mental Health Counselor Taxonomy 101YM0800X · Licence RC60035704 (WA)

Record details

NPI number1174779177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 11, 2008
Last updated in NPPESMay 18, 2011
Mailing address2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Dawoud — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suwanee