P Praxis·MD
● Active Type 1 · Individual

Emmanuelle C Charles, PA-C

Physician Assistant·Gainesville, GA· NPI 1598996100 · Enumerated 2009 · 16 years on NPI
Charles is 1 of 108 physician assistant providers in Gainesville and 1 of 4616 in Georgia.
NPI age
16 years
Enumerated 2009-07-30
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-04-04
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
16 years
↑ 8 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
715 Queen City Pkwy
Gainesville, GA 305014348
📞 7705315115fax 7705315116
Mailing address
3945 Lawrenceville Hwy Nw
Lilburn, GA 300472817
📞 7709102377fax 7709102377

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 #005291 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (GA) 003116541B
05 (GA) 003116541G
05 (GA) 003116541E
05 (GA) 003116541D
05 (GA) 003116541C

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 9 new physician assistant providers have been added in Gainesville 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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