P Praxis·MD
● Active Type 1 · Individual

Michael S. Kelleher, PA-C

Physician Assistant·Marietta, GA· NPI 1326001272 · Enumerated 2006 · 20 years on NPI
Kelleher is 1 of 73 physician assistant providers in Marietta and 1 of 1333 in Georgia.
NPI age
20 years
Enumerated 2006-04-11
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
55 Whitcher St Ne, Suite 350
Marietta, GA 300601155
📞 7704246893fax 6788190357
Mailing address
2085 Roswell Rd, Apt 1734
Marietta, GA 300627517
📞 7704246893fax 6788190357

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #004757 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 178 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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