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

Ryan Andrew Shepherd, PAC

Individual provider Physician Assistant · NPI 1730581513

Ryan Andrew Shepherd, PAC is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2023, 3 years ago. Practices with Advanced Neurosurgery Associates LLC, a 15-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2014
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2200 Medical Center Blvd Ste 350
Lawrenceville, GA 30046-7768
Phone: (678) 312-2700
Fax: (678) 312-2730
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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 12230 (GA)

Record details

NPI number1730581513
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 23, 2014
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024
Mailing address2200 Medical Center Blvd Ste 350, Lawrenceville, GA 30046-7768

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Neurosurgery Associates Llc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lawrenceville