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

MS. Patrice Rebecca Braun, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1740356161

MS. Patrice Rebecca Braun, PHYSICIANASSISTANT is a Physician Assistant in Atlanta, Georgia. Qualified in 2006, 20 years ago. Practices with Northside Surgical Professional Services LLC, a 368-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
20
Licensed in
GA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2001 Peachtree Rd NE Ste 575
Atlanta, GA 30309-1476
Phone: (404) 350-0106
Fax: (404) 350-0176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 004918 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 004918 (GA)

Record details

NPI number1740356161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Northside Surgical Professional Services Llc — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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