P Praxis·MD
● Active Type 1 · Individual

MS. Nocollege A Pupuma, P.A.C.

Physician Assistant·Lawrenceville, GA· NPI 1689626657 · Enumerated 2006 · 20 years on NPI
Pupuma is 1 of 33 physician assistant providers in Lawrenceville and 1 of 1333 in Georgia.
NPI age
20 years
Enumerated 2006-05-17
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
1431 Riverside Pkwy, Suite B
Lawrenceville, GA 300435946
📞 7705130111fax 7705133731
Mailing address
1431 Riverside Pkwy, Suite B
Lawrenceville, GA 300435946
📞 7705130111fax 7705133731

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #003263 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 3 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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