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

Patrick Derouen, PA-C

Individual provider Medical Physician Assistant · NPI 1184781999

Patrick Derouen, PA-C is a Medical Physician Assistant in Austell, Georgia. Practices as a sole proprietor. Licensed in Georgia.

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

1550 Mulkey Rd
Austell, GA 30106-1112
Phone: (404) 446-1440
Fax: (770) 732-2081
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 004076 (GA)

Record details

NPI number1184781999
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1550 Mulkey Rd, Austell, GA 30106-1112

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