P Praxis·MD
● Active Type 1 · Individual

Marc Blaine Anderson

Physician Assistant·Dalton, GA· NPI 1609613629 · Enumerated 2024 · 1 years on NPI
Anderson is 1 of 34 physician assistant providers in Dalton and 1 of 4616 in Georgia.
NPI age
1 years
Enumerated 2024-07-09
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-22
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
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Practice location
1200 Memorial Dr
Dalton, GA 307202529
📞 7062726000
Mailing address
1200 Memorial Dr
Dalton, GA 307202529
📞 7062726000

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1300 Cleo Way
Dalton, GA 307208442
📞 7062265533

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 #12617 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 153 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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