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

Reagan Ochieng Marienga, PA

Individual provider Physician Assistant · NPI 1417583709

Reagan Ochieng Marienga, PA is a Physician Assistant in Decatur, Georgia. Qualified in 2022, 4 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
4
Licensed in
GA, SC
In the registry since
2020
Specialties on file
2
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

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2728 Sunset Blvd Ste 400, West Columbia, SC 29169-4872 — (803) 936-7095

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9730 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 6152 (SC)

Record details

NPI number1417583709
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESMarch 18, 2026
Certification dateMarch 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Decatur