P Praxis·MD
● Active Type 1 · Individual

Beretta Craft-Coffman, P.A.-C

Physician Assistant·Canton, GA· NPI 1285601880 · Enumerated 2006 · 20 years on NPI
Craft-Coffman is 1 of 6 physician assistant providers in Canton and 1 of 640 in Georgia.
NPI age
20 years
Enumerated 2006-03-02
Primary specialty
Physician Assistant
Plus 10 subspecialties
Licensed in
GA, CO, FL, NV, NC, MS, SC, TN, TX, VA
10 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-20
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
20 years
↑ 7 yr above median (13 yr)
State licenses
10 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
125 Oakside Ct Ste 102
Canton, GA 301142498
📞 7702138376
Mailing address
626 Bent Creek Dr
Evans, GA 308097445
📞 7068338983

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1225 N State St
Jackson, MS 392022064
📞 8336728767
Location 3
3186 S Maryland Pkwy
Las Vegas, NV 891092317
📞 7254337788

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #002366CO license #PA.0004259FL license #PA9106348NV license #PA2198NC license #0010-10058MS license #PA00325SC license #1199NV license #PA0659TN license #PA0000001672TX license #PA09999VA license #0110007147 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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