P Praxis·MD
● Active Type 1 · Individual

MR. Vincent Timothy Waldron, PA-C

Physician Assistant·Marietta, GA· NPI 1578125522 · Enumerated 2019 · 6 years on NPI
Waldron is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
NPI age
6 years
Enumerated 2019-06-30
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
CA, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-06-24
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
6 years
↓ 2 yr below median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
61 Whitcher St Ne Ste 3110
Marietta, GA 300601179
📞 7704222326
Mailing address
61 Whitcher St Ne Ste 3110
Marietta, GA 300601179
📞 7704222326fax 7704227231

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
500 Arrowcreek Pkwy Unit 614
Reno, NV 895115526
📞 5103848965
Location 3
500 Arrowcreek Pkwy Unit 614
Reno, NV 895115526
📞 5103848965
Location 4
584 Parliament St
Marietta, GA 300663685
📞 5103848965

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...
    CA license #PA66276 taxonomy 363A00000X
  • Neurological Surgery
    A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems,...
    GA license #10208CA license #PA66276 taxonomy 207T00000X

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

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