Physician Assistant, Medical
AGELESS MENS HEALTH
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1518281864 · enumerated 2010-03-16 · record updated 2026-01-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: AMANDA WILKINSON, Business Operations Director · (602) 796-2559
Addresses and phones
- Mailing address 10501 W GOWAN RD STE 200, LAS VEGAS, NV, 89129-6602 (602) 796-2559 Google Maps Apple Maps OpenStreetMap
- Practice location 2941 PIEDMONT RD NE, SUITE B, ATLANTA, GA, 30305-2784 (404) 841-9445 Fax (901) 841-9446 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Medical 363AM0700X · Primary · License 5765 GA
In this directory
Locations and evidence
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Practice location
ATLANTA, GA, 303052784
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.