P Praxis·MD
● Active Type 1 · Individual

Lyndsey Ann Rodabaugh

Physician Assistant·Suwanee, GA· NPI 1326672668 · Enumerated 2020 · 6 years on NPI
Rodabaugh is 1 of 12 physician assistant providers in Suwanee and 1 of 1333 in Georgia.
NPI age
6 years
Enumerated 2020-02-25
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-03-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
2601 Northlake Dr
Suwanee, GA 300242942
📞 7706822364
Mailing address
Po Box 720006
Norman, OK 730704006

Additional practice locations

1 secondary location on file with NPPES.

Location 2
809 S Walnut St
Stillwater, OK 740744226
📞 4057424936

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AM0700X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

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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