P Praxis·MD
● Active Type 1 · Individual

Stephanie Ingram, CSA

Physician Assistant·Conyers, GA· NPI 1154595676 · Enumerated 2008 · 18 years on NPI
Ingram is 1 of 9 physician assistant providers in Conyers and 1 of 640 in Georgia.
NPI age
18 years
Enumerated 2008-04-16
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
18 years
↑ 5 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Practice location
863 Flat Shoals Rd Se Ste C238
Conyers, GA 300946633
📞 7703546940
Mailing address
863 Flat Shoals Rd Se Ste C238
Conyers, GA 300946633
📞 7703546940

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #3135 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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