P Praxis·MD
● Active Type 1 · Individual

MRS. Staci Haggerty McCullohs, PA-C

Physician Assistant·Atlanta, GA· NPI 1629294947 · Enumerated 2007 · 19 years on NPI
McCullohs is 1 of 128 physician assistant providers in Atlanta and 1 of 640 in Georgia.
NPI age
19 years
Enumerated 2007-04-17
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-11-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
975 Johnson Ferry Rd Ne, Suite 100
Atlanta, GA 30342
📞 4042562157fax 4043039798
Mailing address
975 Johnson Ferry Rd Ne, Suite 100
Atlanta, GA 30342
📞 4042561311fax 4043039798

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X
  • Physician Assistant
    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 #005021 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 35 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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