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

Scott W Craven, PA-C

Individual provider Physician Assistant · NPI 1457863839

Scott W Craven, PA-C is a Physician Assistant in Gainesville, Georgia. Qualified in 2017, 9 years ago. Practices with Patrick D Retterbush MD LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1488 Jesse Jewell Pkwy SE Ste 100
Gainesville, GA 30501-3804
Phone: (770) 800-3455
Fax: (770) 450-8024
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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 8447 (GA)

Record details

NPI number1457863839
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2017
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Patrick D Retterbush Md Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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