Provider Demographics
NPI:1225514201
Name:PINSON, DANICA LEIGH (PAC)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:LEIGH
Last Name:PINSON
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 OLDE TOWNE PKWY STE 370
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4396
Mailing Address - Country:US
Mailing Address - Phone:678-631-4620
Mailing Address - Fax:678-631-4621
Practice Address - Street 1:4800 OLDE TOWNE PKWY STE 370
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4396
Practice Address - Country:US
Practice Address - Phone:678-631-4620
Practice Address - Fax:678-631-4621
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8841363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical