Shiara Vassian, PA
Dermatology in Covington, GA. Individual provider (NPI-1).
NPI number1487763355
StatusActive
Last updated in NPPESFeb 26, 2008
Details
- NPI
- 1487763355
- Entity type
- Individual (NPI-1)
- Name
- Shiara Vassian
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Feb 26, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 003545 | GA | Yes |
Practice location
4155 Baker St NeSuite 100
Covington, GA 30014-1405
Phone 770-788-0620 · Fax 678-342-3327
Mailing address
Po Box 945934Atlanta, GA 30394-5934
Phone 770-788-0620 · Fax 678-342-3327
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