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

Mr. John Brian Duteau, PA

Individual provider Medical Physician Assistant · NPI 1710647631

Mr. John Brian Duteau, PA is a Physician Assistant in Gainesville, Georgia. Qualified in 2021, 5 years ago. Practices with Gainesville Radiology Group PC, a 69-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
3
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

200 W Academy St NW
Gainesville, GA 30501-8568
Phone: (770) 282-8820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 743 Spring St Ne, Gainesville, GA 30501-3715 — (770) 219-8721

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10869 (GA)
Medical Physician Assistant Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1710647631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Gainesville Radiology Group Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Gainesville