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

Mr. Rallie D Cogburn Sr., PA

Individual provider Medical Physician Assistant · NPI 1548265549

Mr. Rallie D Cogburn Sr., PA is a Medical Physician Assistant in Macon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

6070 Lakeside Commons Dr
Macon, GA 31210-5778
Phone: (478) 254-2644
Fax: (478) 254-4924
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 003476 (GA)

Record details

NPI number1548265549
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 16, 2005
Last updated in NPPESOctober 3, 2014

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