P Praxis·MD
● Active Type 1 · Individual

Marissa Weiching Goolsby, PA-C

Physician Assistant·Tucker, GA· NPI 1144786237 · Enumerated 2019 · 7 years on NPI
Goolsby is 1 of 17 physician assistant providers in Tucker and 1 of 4616 in Georgia.
NPI age
7 years
Enumerated 2019-02-14
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 24% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
4650 Hugh Howell Rd Ste 510
Tucker, GA 300845031
📞 6789568630fax 6789568634
Mailing address
2476 Ridgefield Ter
Decatur, GA 300334211
📞 9043478711

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
2595 Central Ave
Memphis, TN 381045905
📞 9018423160
Location 3
3481 Austin Peay Hwy
Memphis, TN 381283801
📞 9018423165fax 9018422365
Location 4
1113 Natchez Pt Apt 93
Memphis, TN 381030927
📞 9043478711

Specialties

  • Physician Assistant Primary
    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...
    GA license #11151 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    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. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Tucker 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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