P Praxis·MD
● Active Type 1 · Individual

MR. Tiago Poleselli Bruniera, PA-C

Physician Assistant·Athens, GA· NPI 1164858650 · Enumerated 2013 · 12 years on NPI
Bruniera is 1 of 7 physician assistant providers in Athens and 1 of 640 in Georgia.
NPI age
12 years
Enumerated 2013-09-17
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
12 years
≈ at median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
1199 Prince Ave Fl 2
Athens, GA 30606
📞 7064751700fax 7064751790
Mailing address
2727 Paces Ferry Road Se, Suite 1-1100 (attn: Denise)
Atlanta, GA 30339
📞 4702713421

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #007644 taxonomy 363AS0400X

Practice context

Solo or small practice. No 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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