P Praxis·MD
● Active Type 1 · Individual

MR. Adlere Michel Etienne

Specialist/Technologist, Other·Dacula, GA· NPI 1679814651 · Enumerated 2013 · 13 years on NPI
Etienne is 1 of 8 specialist/technologist, other providers in Dacula and 1 of 399 in Georgia.
NPI age
13 years
Enumerated 2013-03-15
Primary specialty
Specialist/Technologist, Other
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 399 active specialist/technologist, other providers in Georgia.

NPI age
13 years
↑ 7 yr above median (6 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-03Enumerated in NPPES
2013 2026

Where they practice

Practice location
2055 Villa Spring Ct
Dacula, GA 300192275
📞 7576064702
Mailing address
2055 Villa Spring Ct
Dacula, GA 300192275
📞 7576064702

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    GA license #4096 taxonomy 246ZC0007X

Practice context

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

Recently enumerated nearby: 1 new specialist/technologist, other provider has been added in Dacula 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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