P Praxis·MD
● Active Type 1 · Individual

Amanda Y Pellerito, PA

Physician Assistant·Marietta, GA· NPI 1205355427 · Enumerated 2017 · 8 years on NPI
Pellerito is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
NPI age
8 years
Enumerated 2017-09-19
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-11-06
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
8 years
≈ at median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-09Enumerated in NPPES
2017 2026

Where they practice

Practice location
61 Whitcher St Ne Ste 3110
Marietta, GA 300601179
📞 7704222326fax 7704227797
Mailing address
708 Stewart Cir Nw
Marietta, GA 300642170
📞 7703782209

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...
    taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

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