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Ethan Irvin , PHYSICIAN ASSISTANT

Physician Assistant β€’ Robins Afb, GA

Active NPI 1538834619 Individual Practitioner Male Practitioner
Practice location in NPPES

655 7th St Bldg 700
Robins Afb, GA 310982227

Call 4784977569 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

655 7th St Bldg 700

Robins Afb, GA 310982227

Telephone 4784977569
Organization at the Same NPPES Address or Phone
78th Medgrp-Robins Facility NPI 1417363482

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Robins Afb and Georgia

11 active clinicians are listed under Physician Assistant with a practice address in Robins Afb, GA (4,665 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Robins Afb

0% of these 11 clinicians have the CMS telehealth indicator.

18.2% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1780666297

Doctor of Dental Surgery

NPI 1750348207

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 28, 2023

Registered at 655 7TH ST BLDG 700, ROBINS AFB, GA 310982227 (Tel: 4784977569)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2023

Military Health Care Provider

πŸ“
Updated Business Mailing Address March 08, 2023

Registered at 2803 MEDICAL CAMPUS DR, GOLDSBORO, NC 27531 (Tel: 9197221802)

βœ…
NPI Profile Active August 12, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 12, 2021

Registered at 2803 MEDICAL CAMPUS, SEYMOUR JOHNSON AFB, NC 27531 (Tel: 9197224721)

πŸ“
Business Mailing Address (Initial Record) August 12, 2021

Registered at 765 BARTLETT RD NE, PIKEVILLE, NC 278639060

πŸ‘€
Provider Name / Credentials (Initial Record) August 12, 2021

Recorded as ETHAN IRVIN, PHYSICIAN ASSISTANT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2021

Physician Assistant

🟒
Initial NPI Registration & Enumeration August 11, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1538834619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2021
Last Update: July 28, 2023
Sole Proprietor: Yes

Other Physician Assistants in Robins Afb

Mailing Address

2803 Medical Campus Dr

Goldsboro, NC 27531

Phone: 9197221802

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.