P Praxis·MD
● Active Type 1 · Individual

Andrew F Roush, P.A.

Physician Assistant·Gainesville, GA· NPI 1366530610 · Enumerated 2006 · 19 years on NPI
Roush is 1 of 69 physician assistant providers in Gainesville and 1 of 1333 in Georgia.
NPI age
19 years
Enumerated 2006-10-11
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
19 years
↑ 4 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

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
200 Academy Street
Gainesville, GA 30501
📞 7702828820
Mailing address
Po Box 2417
Gainesville, GA 305032417
📞 7705329936fax 7705349877

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1250 Jesse Jewell Pkwy Se, Ste. 500
Gainesville, GA 305013871
📞 7705329936fax 7705349877

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #004512 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (GA) P00298024 RAILROAD MEDICARE
01 (GA) 581177261A MEDICARE GRP PROV #
05 (GA) 510962418A
05 (GA) 510962418K

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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