P Praxis·MD
● Active Type 1 · Individual

Micah Henderson Lancaster, PA-C

Physician Assistant·Brunswick, GA· NPI 1285917401 · Enumerated 2011 · 14 years on NPI
Lancaster is 1 of 28 physician assistant providers in Brunswick and 1 of 4616 in Georgia.
NPI age
14 years
Enumerated 2011-09-23
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-03-12
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
14 years
↑ 6 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 24% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Practice location
1111 Glynco Pkwy, Building 1, Suite 20
Brunswick, GA 315257921
📞 9122621801fax 9122646262
Mailing address
2400 Bellevue Rd, Suite 21-A
Dublin, GA 310212885
📞 4782757202fax 4782748418

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...
    GA license #006295 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    taxonomy 363AM0700X
  • Physician Assistant
    Definition to come...
    taxonomy 363AS0400X

Identifiers

TypeValueNotes
01 (GA) 006295 GEORGIA LICENSE
05 (GA) 003116432
05 (GA) 003116443

Practice context

Part of a multi-provider practice. 27 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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