P Praxis·MD
● Active Type 1 · Individual

Mandy C Stout, PA-C

Physician Assistant·Snellville, GA· NPI 1578619219 · Enumerated 2007 · 19 years on NPI
Stout is 1 of 15 physician assistant providers in Snellville and 1 of 1333 in Georgia.
NPI age
19 years
Enumerated 2007-01-26
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1700 Tree Ln, Suite 170
Snellville, GA 300786782
📞 7709620399fax 6782523722
Mailing address
755 Walther Rd
Lawrenceville, GA 300458725
📞 7709620399fax 6782523722

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #003919 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 33 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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