Healthcare Provider Details

I. General information

NPI: 1710805080
Provider Name (Legal Business Name): PHYSICIAN ASSISTANT NURSING CARE OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 N 29TH ST
BILLINGS MT
59101-1985
US

IV. Provider business mailing address

4299 SMITH RD
LOGANVILLE GA
30052-2504
US

V. Phone/Fax

Practice location:
  • Phone: 888-334-5966
  • Fax: 404-678-1626
Mailing address:
  • Phone: 888-334-5966
  • Fax: 404-678-1626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHARON A PEART
Title or Position: CEO/OWNER
Credential:
Phone: 888-334-5966