P Praxis·MD
● Active Type 1 · Individual

Brandon Hereman, PA

Physician Assistant·Lawrenceville, GA· NPI 1235919390 · Enumerated 2023 · 2 years on NPI
Hereman is 1 of 33 physician assistant providers in Lawrenceville and 1 of 1333 in Georgia.
NPI age
2 years
Enumerated 2023-10-04
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
2 years
↓ 13 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-10Enumerated in NPPES
2023 2026

Where they practice

Practice location
965 Oakland Rd Ste C
Lawrenceville, GA 300443758
📞 6783642210
Mailing address
750 Avondale Creek Dr Unit 423
Decatur, GA 300328418
📞 4074432808

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 3 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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