P Praxis·MD
● Active Type 1 · Individual

Kayla Marie Rose, PA-C

Physician Assistant·Valdosta, GA· NPI 1689021651 · Enumerated 2016 · 10 years on NPI
Rose is 1 of 33 physician assistant providers in Valdosta and 1 of 4616 in Georgia.
NPI age
10 years
Enumerated 2016-05-19
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-23
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
10 years
↑ 2 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
3207 Country Club Drive, Bldg. B
Valdosta, GA 316051029
📞 2294338160fax 2292442707
Mailing address
Po Box 0070
Valdosta, GA 316030070
📞 2294338160fax 2292442707

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 #008652NC license #0010-06635 taxonomy 363A00000X

Practice context

Solo or small practice. No 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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