P Praxis·MD
● Active Type 1 · Individual

Shiara Vassian, PA

Dermatology·Covington, GA· NPI 1487763355 · Enumerated 2006 · 19 years on NPI
Vassian is 1 of 3 dermatology providers in Covington and 1 of 483 in Georgia.
NPI age
19 years
Enumerated 2006-08-30
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-02-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
4155 Baker St Ne, Suite 100
Covington, GA 300141405
📞 7707880620fax 6783423327
Mailing address
Po Box 945934
Atlanta, GA 303945934
📞 7707880620fax 6783423327

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #003545 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 (GA) 5909 KAISER PROVIDER #

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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