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

Tricia J Storteboom, PA

Individual provider Physician Assistant · NPI 1376569889

Tricia J Storteboom, PA is a Physician Assistant in Marietta, Georgia. Qualified in 2001, 25 years ago. Practices with Quantum Radiology PC, a 105-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Georgia.

Years since qualifying
25
Licensed in
FL, GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

790 Church St NE
Marietta, GA 30060-7282
Phone: (770) 405-2976
Fax: (770) 988-0730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 — (404) 851-8820

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9752 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA9104129 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9104129 (FL)

Record details

NPI number1376569889
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Quantum Radiology Pc — 105 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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