P Praxis·MD
● Active Type 1 · Individual

Heather Buckley, PA-C

Physician Assistant·Atlanta, GA· NPI 1083894539 · Enumerated 2007 · 18 years on NPI
Buckley is 1 of 280 physician assistant providers in Atlanta and 1 of 1333 in Georgia.
NPI age
18 years
Enumerated 2007-11-13
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-11Enumerated in NPPES
2007 2026

Where they practice

Practice location
1400 Tullie Circle Se
Atlanta, GA 30329
📞 4047851161fax 4045539789
Mailing address
1400 Tullie Circle Se
Atlanta, GA 30329
📞 4047851161fax 4045539789

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #5204 taxonomy 363AM0700X

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 Atlanta 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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