P Praxis·MD
● Active Type 1 · Individual

Melissa M Davidson, PA

Physician Assistant·Marietta, GA· NPI 1578517876 · Enumerated 2006 · 20 years on NPI
Davidson is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
NPI age
20 years
Enumerated 2006-05-20
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-26
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
20 years
↑ 12 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
4800 Olde Towne Pkwy Ste 150a
Marietta, GA 300684357
📞 7705091025fax 7705091884
Mailing address
Po Box 2968
Kennesaw, GA 301569117
📞 7707790015

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 #002192 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    GA license #002192 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (GA) 100001575B
01 (GA) 10038125 AMERIGROUP
01 (GA) 333457 WELLCARE
05 (GA) 100001575C
05 (GA) 100001575

Practice context

Part of a multi-provider practice. 8 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 →
Provyx · Custom healthcare lists

Need all 4616 Physician Assistant providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related