P Praxis·MD
● Active Type 1 · Individual

MR. Daniel Bradford Gallo, PA-C

Physician Assistant·Watkinsville, GA· NPI 1407536709 · Enumerated 2023 · 2 years on NPI
Gallo is 1 of 27 physician assistant providers in Watkinsville and 1 of 4616 in Georgia.
NPI age
2 years
Enumerated 2023-07-20
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-25
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
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-07Enumerated in NPPES
2023 2026

Where they practice

Practice location
2061 Experiment Station Rd Ste 505
Watkinsville, GA 306775327
📞 7063100324
Mailing address
2061 Experiment Station Rd Ste 505
Watkinsville, GA 306775327
📞 7063100324

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 #11976 taxonomy 363A00000X
  • 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. 9 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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