P Praxis·MD
● Active Type 1 · Individual

MRS. Torey Charlise Davis-Bogan, SA-C, CST

Physician Assistant·Marietta, GA· NPI 1003455874 · Enumerated 2019 · 6 years on NPI
Davis-Bogan is 1 of 50 physician assistant providers in Marietta and 1 of 640 in Georgia.
NPI age
6 years
Enumerated 2019-12-27
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
6 years
↓ 7 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-12Enumerated in NPPES
2019 2026

Where they practice

Practice location
3105 Rome Ct Sw
Marietta, GA 300644423
📞 3176640771
Mailing address
3105 Rome Ct Sw
Marietta, GA 300644423
📞 3176640771

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #18-399 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Marietta in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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