P Praxis·MD
● Active Type 1 · Individual

David A Retberg, PA-C

Physician Assistant·Flowery Branch, GA· NPI 1700065422 · Enumerated 2007 · 18 years on NPI
Retberg is 1 of 6 physician assistant providers in Flowery Branch and 1 of 4616 in Georgia.
NPI age
18 years
Enumerated 2007-10-30
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, NM
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-08-30
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
18 years
↑ 10 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Practice location
7316 Spout Springs Rd Ste 203
Flowery Branch, GA 305425620
📞 6782058387fax 6788081039
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
📞 6782844040fax 6782844076

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 #9308NM license #PA2009-0013 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    NM license #PA2009-0013 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (NM) PA2009-0013 NM LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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