P Praxis·MD
● Active Type 1 · Individual

Sandra Sullivan Tyler, PAC

Physician Assistant·Suwanee, GA· NPI 1588963490 · Enumerated 2011 · 15 years on NPI
Tyler is 1 of 12 physician assistant providers in Suwanee and 1 of 1333 in Georgia.
NPI age
15 years
Enumerated 2011-03-17
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-30
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
15 years
≈ at median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
3350 Paddocks Pkwy
Suwanee, GA 300249119
📞 6787355300fax 6787355305
Mailing address
3350 Paddocks Pkwy
Suwanee, GA 300249119
📞 6787355300fax 6787355305

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #3288 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 2 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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