P Praxis·MD
● Active Type 1 · Individual

Nancy A Anderson, PA-C

Physician Assistant·Cumming, GA· NPI 1104937317 · Enumerated 2006 · 19 years on NPI
Anderson is 1 of 12 physician assistant providers in Cumming and 1 of 640 in Georgia.
NPI age
19 years
Enumerated 2006-08-31
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-02-02
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
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1505 Northside Blvd, Ste 2400
Cumming, GA 300417623
📞 7702923490fax 4048516283
Mailing address
1505 Northside Blvd, Ste 2400
Cumming, GA 300417623
📞 7702923490fax 4048516283

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #002106 taxonomy 363AS0400X

Identifiers

TypeValueNotes
05 (GA) 003119970D
05 (GA) 003119970B
05 (GA) 003119970C

Practice context

Part of a multi-provider practice. 40 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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