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

Mr. Nathanael Shane Hornsby, CSFA

Individual provider Surgical Physician Assistant · NPI 1255767950

Mr. Nathanael Shane Hornsby, CSFA is a Surgical Physician Assistant in Dallas, Georgia. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

10175 Dallas Acworth Hwy Ste 103-14
Dallas, GA 30132-9300
Phone: (678) 481-1647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1255767950
Entity typeIndividual (Type 1)
GenderMale
Credentials CSFA
Sole proprietorYes
NPI enumeratedSeptember 25, 2013
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

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