P Praxis·MD
● Active Type 1 · Individual

Nathan Scott Lycan, PA

Physician Assistant·Atlanta, GA· NPI 1366755993 · Enumerated 2010 · 15 years on NPI
Lycan is 1 of 280 physician assistant providers in Atlanta and 1 of 1333 in Georgia.
NPI age
15 years
Enumerated 2010-07-25
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-20
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
15 years
≈ at median (15 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
1968 Peachtree Road Nw
Atlanta, GA 30309
📞 4046052800fax 4043515983
Mailing address
275 Collier Rd Nw, Suite 500
Atlanta, GA 303091709
📞 4046052800fax 4043515983

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1 Embarcadero Ctr Ste 1900
San Francisco, CA 941113723
📞 8886636331

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #005811 taxonomy 363AM0700X
  • Physician Assistant
    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...
    CA license #54202 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (GA) 005811 GA LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 90 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Atlanta in the last 180 days. See all →
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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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