NPI age
4 years
Enumerated 2022-05-18
● Active
Type 1 · Individual
Mattea Krasicky, PA
Krasicky is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
4 years
↓ 4 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 · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Practice location
400 Tower Rd Ne Ste 200
Marietta, GA 300609412
Mailing address
400 Tower Rd Ne Ste 200
Marietta, GA 300609412
Additional practice locations
1 secondary location on file with NPPES.
Location 2
625 Old Peachtree Rd Nw
Suwanee, GA 300242937
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...
-
Student in an Organized Health Care Education/Training ProgramAn 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.
Practice context
Part of a multi-provider practice. 24 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.