P Praxis·MD
● Active Type 1 · Individual

Jaime Lynn Buckelew, CSFA

Specialist/Technologist, Other·Marietta, GA· NPI 1700366606 · Enumerated 2018 · 7 years on NPI
Buckelew is 1 of 20 specialist/technologist, other providers in Marietta and 1 of 399 in Georgia.
NPI age
7 years
Enumerated 2018-08-20
Primary specialty
Specialist/Technologist, Other
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-08-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

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

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

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
800 Kennesaw Ave Nw Ste 120
Marietta, GA 300601052
📞 6785565138fax 7703366620
Mailing address
800 Kennesaw Ave Nw Ste 120
Marietta, GA 300601052
📞 6785565138fax 7703366620

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 #164724 taxonomy 246ZC0007X

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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