P Praxis·MD
● Active Type 1 · Individual

MISS Tracey Lorena Tello, CSFA, ST

Physician Assistant·Atlanta, GA· NPI 1417388232 · Enumerated 2013 · 12 years on NPI
Tello is 1 of 128 physician assistant providers in Atlanta and 1 of 640 in Georgia.
NPI age
12 years
Enumerated 2013-12-04
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
12 years
≈ at median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-12Enumerated in NPPES
2013 2026

Where they practice

Practice location
931 Monroe Drive Ne, Suite 102 #641
Atlanta, GA 303087132
📞 4043121633
Mailing address
931 Monroe Dr Ne, Suite 102 #641
Atlanta, GA 303081793
📞 4043121633

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #146587 taxonomy 363AS0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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