P Praxis·MD
● Active Type 1 · Individual

MR. Chad Stough, PA-C

Physician Assistant·Dallas, GA· NPI 1548570120 · Enumerated 2010 · 15 years on NPI
Stough is 1 of 9 physician assistant providers in Dallas and 1 of 4616 in Georgia.
NPI age
15 years
Enumerated 2010-10-15
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-10-15
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
15 years
↑ 7 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-10Enumerated in NPPES
2010 2026

Where they practice

Practice location
2713 Marietta Highway, Suite 122
Dallas, GA 30157
📞 7705053162fax 7709489126
Mailing address
915 Thornton Road
Lithia Springs, GA 30122
📞 7707399292fax 7709489126

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 #004763 taxonomy 363A00000X

Practice context

Solo or small practice. No 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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