P Praxis·MD
● Active Type 1 · Individual

Olivia Neeley, PA-C

Physician Assistant·Statesboro, GA· NPI 1114340411 · Enumerated 2014 · 12 years on NPI
Neeley is 1 of 9 physician assistant providers in Statesboro and 1 of 1333 in Georgia.
NPI age
12 years
Enumerated 2014-01-23
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, MD, PA
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-08-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-01Enumerated in NPPES
2014 2026

Where they practice

Practice location
19 Lester Rd
Statesboro, GA 304582119
📞 6784813479
Mailing address
1881 Ss Railroad Bed Rd Apt 2903
Statesboro, GA 304618618
📞 6784813479

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AM0700X
  • Physician Assistant
    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...
    MD license #C05704PA license #MA056713 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 2 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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