P Praxis·MD
● Active Type 1 · Individual

MRS. Stacy Page, CSA

Specialist/Technologist, Other·Evans, GA· NPI 1487969416 · Enumerated 2010 · 15 years on NPI
Page is 1 of 1 specialist/technologist, other providers in Evans and 1 of 399 in Georgia.
NPI age
15 years
Enumerated 2010-08-14
Primary specialty
Specialist/Technologist, Other
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 399 active specialist/technologist, other providers in Georgia.

NPI age
15 years
↑ 9 yr above median (6 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-08Enumerated in NPPES
2010 2026

Where they practice

Practice location
664 Mickelson Way
Evans, GA 308095198
📞 7068409107
Mailing address
664 Mickelson Way
Evans, GA 308095198
📞 7068409107

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    GA license #1514 taxonomy 246ZC0007X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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