NPI age
1 years
Enumerated 2025-02-06
● Active
Type 1 · Individual
William Devon Roots, (CSFA0 (CST)
Roots is 1 of 2 physician assistant providers in Stockbridge and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 640 active physician assistant providers in Georgia.
NPI age
1 years
↓ 12 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-02Enumerated in NPPES
2025
2026
Where they practice
Practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 302815085
Mailing address
2101 Autumn Chase Dr
Stockbridge, GA 302819204
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1412 Milstead Ave Ne
Conyers, GA 300123877
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 169 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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