P Praxis·MD
● Active Type 1 · Individual

Derrell L Nesmith, CSA

Physician Assistant·Kennesaw, GA· NPI 1558696484 · Enumerated 2009 · 16 years on NPI
Nesmith is 1 of 5 physician assistant providers in Kennesaw and 1 of 640 in Georgia.
NPI age
16 years
Enumerated 2009-10-09
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2009-10-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
16 years
↑ 3 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-10Enumerated in NPPES
2009 2026

Where they practice

Practice location
3091 Cobb Pkwy Nw
Kennesaw, GA 301525891
📞 4049320637
Mailing address
3091 Cobb Pkwy Nw
Kennesaw, GA 301525891
📞 4049320637

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X

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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