Provider Demographics
NPI:1982584140
Name:NORRIS, OLIVIA ROSE (PA-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:ROSE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3362 CHATSWORTH WAY
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-1359
Mailing Address - Country:US
Mailing Address - Phone:770-773-6714
Mailing Address - Fax:
Practice Address - Street 1:3362 CHATSWORTH WAY
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-1359
Practice Address - Country:US
Practice Address - Phone:770-773-6714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant