NPI age
14 years
Enumerated 2012-03-02
● Active
Type 1 · Individual
MR. Bobby Joel Treadwell JR., PA-C
Treadwell is 1 of 14 physician assistant providers in Acworth and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 640 active physician assistant providers in Georgia.
NPI age
14 years
≈ at median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-03Enumerated in NPPES
2012
2026
Where they practice
Practice location
4550 Cobb Parkway North Nw, Suite 309b
Acworth, GA 301014180
Mailing address
4550 Cobb Parkway North Nw, Suite 309b
Acworth, GA 301014180
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 8101943 |
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.