P Praxis·MD
● Active Type 1 · Individual

Courtney Brynne Campbell, PA-C

Physician Assistant·Holly Springs, GA· NPI 1467895409 · Enumerated 2013 · 13 years on NPI
Campbell is 1 of 5 physician assistant providers in Holly Springs and 1 of 4616 in Georgia.
NPI age
13 years
Enumerated 2013-04-09
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-11-10
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
13 years
↑ 5 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
1120 Wellstar Way Ste 105
Holly Springs, GA 301148952
📞 6784942500
Mailing address
1120 Wellstar Way Ste 105
Holly Springs, GA 301148952
📞 6784942500

Specialties

  • Physician Assistant Primary
    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...
    GA license #7442FL license #9107144 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (FL) HE879Z PTAN
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 5 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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