P Praxis·MD
● Active Type 1 · Individual

Si'Ara Washington Farris, ATC, LMT

Specialist/Technologist·Lithonia, GA· NPI 1205442472 · Enumerated 2020 · 5 years on NPI
Farris is 1 of 4 specialist/technologist providers in Lithonia and 1 of 1405 in Georgia.
NPI age
5 years
Enumerated 2020-09-22
Primary specialty
Specialist/Technologist
Plus 2 subspecialties
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-09-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1405 active specialist/technologist providers in Georgia.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
564 Hillandale Park Dr
Lithonia, GA 300588833
📞 8437187536
Mailing address
564 Hillandale Park Dr
Lithonia, GA 300588833
📞 8437187536

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    GA license #AT003870SC license #1418 taxonomy 2255A2300X
  • Massage Therapist
    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
    SC license #9454 taxonomy 225700000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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