P Praxis·MD
● Active Type 1 · Individual

Vassilakis Vassiliou, PA-C

Physician Assistant·Canton, GA· NPI 1295826105 · Enumerated 2006 · 19 years on NPI
Vassiliou is 1 of 48 physician assistant providers in Canton and 1 of 4616 in Georgia.
NPI age
19 years
Enumerated 2006-09-27
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-01-05
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
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
460 Northside Cherokee Blvd Ste 130
Canton, GA 301158017
📞 6784932527fax 6785935608
Mailing address
55 Whitcher Street, Suite 350
Marietta, GA 300601129
📞 7704246893

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 #004684 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (GA) 000456211C
05 (GA) 000456211G
05 (GA) 000456211D
05 (GA) 000456211F
05 (GA) 000456211E

Practice context

Part of a multi-provider practice. 8 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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