P Praxis·MD
● Active Type 1 · Individual

Jordan Graham, PA

Physician Assistant·MacOn, GA· NPI 1487417739 · Enumerated 2024 · 2 years on NPI
Graham is 1 of 85 physician assistant providers in MacOn and 1 of 4616 in Georgia.
NPI age
2 years
Enumerated 2024-01-31
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-12-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-01Enumerated in NPPES
2024 2026

Where they practice

Practice location
777 Hemlock St
MacOn, GA 312012102
📞 4786336272fax 4786336269
Mailing address
777 Hemlock St
MacOn, GA 312012102
📞 4786336272fax 4786336269

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 #12763 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 448 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in MacOn 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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