P Praxis·MD
● Active Type 1 · Individual

Kristin Bost Gaffney, PA-C, MSPAS

Physician Assistant·Marietta, GA· NPI 1457633307 · Enumerated 2011 · 14 years on NPI
Gaffney is 1 of 73 physician assistant providers in Marietta and 1 of 1333 in Georgia.
NPI age
14 years
Enumerated 2011-09-16
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, NC, SC
3 states
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 1333 active physician assistant providers in Georgia.

NPI age
14 years
≈ at median (15 yr)
State licenses
3 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Practice location
3707 Largent Way Nw
Marietta, GA 30064
📞 6785815729fax 6785815719
Mailing address
805 Sandy Plains Road, Medical Staff Services
Marietta, GA 300666340

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
4645 Augusta Rd
Beech Island, SC 298427265
📞 8035939283
Location 3
4645 Augusta Rd
Beech Island, SC 298427265
📞 8035939283

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #7932SC license #1715 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...
    NC license #0010-04394 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (SC) 1742PA
05 (NC) 1457633307
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 11 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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