STILLWELL MEDICAL GROUP – Physician Assistant, NPI 1659414175

STILLWELL MEDICAL GROUP is a healthcare provider. based in Loganville, Georgia. specializing in Physician Assistant. The organization holds a License No. 3135 (GA). The NPI Number for STILLWELL MEDICAL GROUP is 1659414175

Main info

Organization
Name
STILLWELL MEDICAL GROUP
NPI
1659414175
Phone
Not provided
Address
4160 LOGAN DR #1596
Authorized Official
LATONDRA DENISE BARKER MANAGER
Enumeration Date
14 February 2007
Last Update Date
4 February 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for STILLWELL MEDICAL GROUP

  • 4160 LOGAN DR #1596

    LOGANVILLE, GA 30052

    Phone:

    Type: Mailing

  • 4160 LOGAN DR UNIT 1596

    LOGANVILLE, GA 300529516

    Phone: (678) 557-0207

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30052)

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Frequently asked questions

Is STILLWELL MEDICAL GROUP listed with a National Provider Identifier?
Yes — STILLWELL MEDICAL GROUP has NPI 1659414175 on file in the registry.
Would STILLWELL MEDICAL GROUP appear as active to a payer?
You can treat STILLWELL MEDICAL GROUP as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to STILLWELL MEDICAL GROUP?
STILLWELL MEDICAL GROUP's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Georgia is STILLWELL MEDICAL GROUP registered?
Use Loganville, Georgia as the headline location for STILLWELL MEDICAL GROUP here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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