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

Tara Dambach

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871233502

Tara Dambach is a Physician Assistant in Suwanee, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2022, 4 years ago. Practices with The Emory Clinic Inc, a 3,500-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

625 Old Peachtree Rd NW
Suwanee, GA 30024-2937
Phone: (678) 451-8969
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 11235 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871233502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022
Mailing address6518 Secret Cove Ct, Flowery Branch, GA 30542-3865

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2022 (4 years in practice)
Group practice The Emory Clinic Inc — 3500 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Suwanee