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

Vanessa Castro

Individual provider Medical Physician Assistant · NPI 1770215287

Vanessa Castro is a Physician Assistant in Austell, Georgia. Qualified in 2024, 2 years ago. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2022
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Practice location Address checks out

2615 E West Connector Ste 106
Austell, GA 30106-6854
Phone: (770) 941-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 12029 (GA)

Record details

NPI number1770215287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2022
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024
Mailing address2615 E West Connector Ste 106, Austell, GA 30106-6854

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Austell