P Praxis·MD
● Active Type 1 · Individual

MR. Martin H Stancil, PA-C

Physician Assistant·Athens, GA· NPI 1639475700 · Enumerated 2011 · 15 years on NPI
Stancil is 1 of 96 physician assistant providers in Athens and 1 of 4616 in Georgia.
NPI age
15 years
Enumerated 2011-02-07
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-11
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
15 years
↑ 7 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-02Enumerated in NPPES
2011 2026

Where they practice

Practice location
125 King Ave
Athens, GA 306066734
📞 7065491663fax 7065468792
Mailing address
1765 Old West Broad St Bldg 2-200
Athens, GA 306062887
📞 7065491663fax 7065468792

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1765 Old West Broad St
Athens, GA 306062853
📞 7065491663fax 7065468792

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 #6057 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 12328584 CAQH NUMBER

Practice context

Part of a multi-provider practice. 11 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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