Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Philip Thomas De Rosa, PA-C

Individual provider Surgical Physician Assistant · NPI 1194236620

Mr. Philip Thomas De Rosa, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2017, 9 years ago. Practices with Advanced Joint Surgery Specialists, LLC, a 48-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
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

61 Whitcher St NE Ste 4120
Marietta, GA 30060-1179
Phone: (770) 424-9732
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 449 N Wendover Rd, Charlotte, NC 28211-1064 — (704) 365-6730

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1194236620
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2017
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

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 Advanced Joint Surgery Specialists, Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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