Provider Demographics
NPI:1124849880
Name:ATKINSON, JAMES A (PA-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:ATKINSON
Suffix:
Gender:
Credentials:PA-C
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:SUITE J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-747-6766
Mailing Address - Fax:734-222-3100
Practice Address - Street 1:44555 WOODWARD AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-5032
Practice Address - Country:US
Practice Address - Phone:248-758-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-24
Last Update Date:2025-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5601012871363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant