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

Mr. Ryan William Flanagan

Individual provider Medical Physician Assistant · NPI 1477173920

Mr. Ryan William Flanagan is a Physician Assistant in Atlanta, Georgia. Qualified in 2021, 5 years ago. Practices with Northside Emergency Associates, PC, a 38-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1730 Mount Vernon Rd Ste B
Atlanta, GA 30338-4245
Phone: (770) 353-2001
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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 10554 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1477173920
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2020
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022

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 Northside Emergency Associates, P.C. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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