P Praxis·MD
● Active Type 1 · Individual

Stephenie Tsui Lerose, PA

Physician Assistant·Smyrna, GA· NPI 1326358920 · Enumerated 2010 · 15 years on NPI
Lerose is 1 of 14 physician assistant providers in Smyrna and 1 of 4616 in Georgia.
NPI age
15 years
Enumerated 2010-10-15
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-25
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
15 years
↑ 7 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Practice location
4441 Atlanta Rd Se Suite 212
Smyrna, GA 30080
📞 4709564100
Mailing address
4441 Atlanta Rd Se Suite 212
Smyrna, GA 30080
📞 4709564100fax 7709992463

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 #006004NC license #0010-04221 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (GA) 003175773B
05 (GA) 003175773A
05 (GA) 003175773D
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No 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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