Doctor profile · Federal record
Dr. Stanley Agbulos, PA-C, AA-C
Physician Assistant · Physician Assistant · Anesthesiologist Assistant · Waycross, GA
- NPI 1861477648
- 21 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
410 Darling Ave
Waycross, GA 315015246
(912) 338-6511
fax (912) 338-6512 - Mailing address
-
Po Box 18824
Greensboro, NC 274198824
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- February 28, 2011
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Georgia #005073 · California #PA16336
- Medicaid (2)
- GA #259983019A · CA #PA16336
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861477648. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$78
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 3 | $78.43 |
By nature of payment
Frequently asked questions
What is Dr. Stanley Agbulos's medical specialty?
Dr. Stanley Agbulos practices Physician Assistant in Waycross, GA.
Where does Dr. Stanley Agbulos practice?
Dr. Stanley Agbulos practices at 410 Darling Ave, Waycross, GA 315015246. Office phone: 9123386511.
What is Dr. Stanley Agbulos's NPI?
Dr. Stanley Agbulos's National Provider Identifier (NPI) is 1861477648, issued by NPPES.