P Praxis·MD
● Active Type 1 · Individual

John Augustave Carlson, PAC

Physician Assistant·McDonough, GA· NPI 1023091964 · Enumerated 2005 · 20 years on NPI
Carlson is 1 of 18 physician assistant providers in McDonough and 1 of 4616 in Georgia.
NPI age
20 years
Enumerated 2005-11-23
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-03-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
259 Jonesboro Rd
McDonough, GA 302533769
📞 7709578666fax 7709570375
Mailing address
290 Country Club Dr, Suite220
Stockbridge, GA 302819069
📞 6782846300fax 6782846336

Specialties

  • Physician Assistant Primary
    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...
    GA license #4944 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (GA) P00404946 RR MEDICARE
05 (GA) 678871499B

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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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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