P Praxis·MD
● Active Type 1 · Individual

Tyrone Omar Nieves-Martinez

Physician Assistant·Atlanta, GA· NPI 1639924830 · Enumerated 2024 · 2 years on NPI
Nieves-Martinez is 1 of 1157 physician assistant providers in Atlanta and 1 of 4616 in Georgia.
NPI age
2 years
Enumerated 2024-04-22
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
DC
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-04Enumerated in NPPES
2024 2026

Where they practice

Practice location
2296 Henderson Mill Rd Ne Ste 300
Atlanta, GA 303452774
📞 4044742301
Mailing address
2296 Henderson Mill Rd Ne Ste 300
Atlanta, GA 303452774
📞 4044742301

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...
    DC license #PA200001967 taxonomy 363A00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 46 new physician assistant providers have been added in Atlanta 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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