P Praxis·MD
● Active Type 1 · Individual

MR. Derek Ladon Baker, PA-C

Physician Assistant·Marietta, GA· NPI 1427300193 · Enumerated 2012 · 13 years on NPI
Baker is 1 of 50 physician assistant providers in Marietta and 1 of 640 in Georgia.
NPI age
13 years
Enumerated 2012-10-05
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-11-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

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

NPI lifetime · 2012 → 2026

2012-10Enumerated in NPPES
2012 2026

Where they practice

Practice location
61 Whitcher St Ne Ste 3110
Marietta, GA 30060
📞 7704222326
Mailing address
805 Sandy Plains Road, Medical Staff Services
Marietta, GA 300666340

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
25751 McBean Pkwy, Suite 305
Valencia, CA 913553701
📞 6613679195fax 6613679198
Location 3
25751 McBean Pkwy, Suite 305
Valencia, CA 913553701
📞 6613679195fax 6613679198

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #006567 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 21 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. See all →
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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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