Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Richard Burrell, PA-C, ATC

Individual provider Physician Assistant · NPI 1265810204

Richard Burrell, PA-C, ATC is a Physician Assistant in Brunswick, Georgia. Qualified in 2015, 11 years ago. Practices with Spine Center of Southeast Georgia LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1111 Glynco Pkwy Ste 300
Brunswick, GA 31525-7933
Phone: (912) 262-6552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3231 Glynn Ave, Brunswick, GA 31520-4851 — (912) 265-9006

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7565 (GA)

Record details

NPI number1265810204
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Spine Center Of Southeast Georgia Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Brunswick