P Praxis·MD
● Active Type 1 · Individual

Kelsey H. Tatone, P.A.-C

Physician Assistant·Fort Moore, GA· NPI 1417290388 · Enumerated 2013 · 13 years on NPI
Tatone is 1 of 9 physician assistant providers in Fort Moore and 1 of 1333 in Georgia.
NPI age
13 years
Enumerated 2013-03-29
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
NY, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-11-05
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
13 years
↓ 2 yr below 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 · 2013 → 2026

2013-03Enumerated in NPPES
2013 2026

Where they practice

Practice location
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7065440188
Mailing address
6600 Van Aalst Blvd
Fort Moore, GA 319052102
📞 7065440188

Specialties

  • Physician Assistant Primary
    Definition to come...
    NY license #017542 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...
    CO license #PA.0005673 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (NY) 01995615-GROUP
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 115 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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