P Praxis·MD
● Active Type 1 · Individual

Angela Michele Godfrey, PA-C

Physician Assistant·Marietta, GA· NPI 1134786593 · Enumerated 2019 · 7 years on NPI
Godfrey is 1 of 73 physician assistant providers in Marietta and 1 of 1333 in Georgia.
NPI age
7 years
Enumerated 2019-05-21
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-12-03
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
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
55 Whitcher St Ne Ste 160
Marietta, GA 30060
📞 4709568260
Mailing address
805 Sandy Plains Road, Medical Staff Services
Marietta, GA 300666340

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
402 Benton Dr Nw
Rome, GA 301651708
Location 3
55 Whitcher St Ne Ste 160
Marietta, GA 300601160
📞 7704221372fax 7704239651

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #9469 taxonomy 363AM0700X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 29 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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