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

Individual provider Physician Assistant · NPI 1174804702

Rayllensons Itacy, PA is a Physician Assistant in Canton, Georgia. Graduated from Emory University School of Medicine in 2010, 16 years ago. Practices with Aga Professional Services LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
16
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2011
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2020 Cumming Hwy Ste 102
Canton, GA 30115
Phone: (678) 593-1295
Fax: (678) 593-1294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 006147 (GA)

Record details

NPI number1174804702
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 9, 2011
Last updated in NPPESApril 5, 2016
Mailing address550 Peachtree St Ne, Suite 1600, Atlanta, GA 30308-2212

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Aga Professional Services Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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