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

Individual provider Physician Assistant · NPI 1063109171

Thomas Bradford Gentle, PA-C is a Physician Assistant in Marietta, Georgia. Qualified in 2022, 4 years ago. Practices with Allatoona Emergency Group PC, a 26-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2023
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

115 Cherry St NE
Marietta, GA 30060-7205
Phone: (256) 612-8778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5665 New Northside Dr Ste 320, Atlanta, GA 30328-5834 — (770) 874-6907

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063109171
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 3, 2023

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 Allatoona Emergency Group Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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