NPI age
19 years
Enumerated 2006-07-15
● Active
Type 1 · Individual
Tricia J Storteboom, PA
Storteboom is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-04-21
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
19 years
↑ 11 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
790 Church St Ne
Marietta, GA 300607282
Mailing address
Po Box 3157
Indianapolis, IN 462063157
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1000 Johnson Ferry Rd
Atlanta, GA 303421606
Specialties
-
Physician Assistant PrimaryA 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...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 292747100 |
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 Marietta in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.