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

Mrs. Brena Johnson Siddall, PA-C

Individual provider Physician Assistant · NPI 1790978526

Mrs. Brena Johnson Siddall, PA-C is a Physician Assistant in Mc Rae, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

280 E Willow Creek Ln
Mc Rae, GA 31055-5126
Phone: (478) 864-3448
Fax: (478) 864-1288
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3400 (GA)

Record details

NPI number1790978526
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 24, 2007
Last updated in NPPESAugust 20, 2015