P Praxis·MD
● Active Type 1 · Individual

Leah R Reynolds, P.A.-C.

Physician Assistant·Suwanee, GA· NPI 1124088851 · Enumerated 2006 · 20 years on NPI
Reynolds is 1 of 12 physician assistant providers in Suwanee and 1 of 1333 in Georgia.
NPI age
20 years
Enumerated 2006-03-25
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-02-01
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
20 years
↑ 5 yr above median (15 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
4245 Johns Creek Pkwy, Ste D
Suwanee, GA 300249121
📞 7704953820fax 7704953825
Mailing address
4245 Johns Creek Pkwy, Ste D
Suwanee, GA 300249121
📞 7704953820fax 7704953825

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #6370 taxonomy 363AM0700X
  • Physician Assistant
    Definition to come...
    AZ license #3344 taxonomy 363AS0400X

Identifiers

TypeValueNotes
05 (GA) 003121895D
05 (GA) 003121895F
01 (AZ) P00380758 RAILROAD MEDICARE
05 (AZ) 069627
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 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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