Individual provider · Type 1 NPI

Kory Zachery, PA-C

Physician Assistant · Carrollton, GA

NPI number 1407314370 Active

Practice location

157 Clinic Ave Ste 202
Carrollton, GA 30117-4454

Mailing address

220 Winchester Dr
Villa Rica, GA 30180-7421

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X9183 (GA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407314370

Kory Zachery, PA-C's National Provider Identifier is 1407314370, issued on Mar 8, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carrollton, GA. The record was last updated on Nov 4, 2025.