P Praxis·MD
● Active Type 1 · Individual

Benjamin Robert Herron, CSFA

Physician Assistant·Marietta, GA· NPI 1720522600 · Enumerated 2016 · 9 years on NPI
Herron is 1 of 50 physician assistant providers in Marietta and 1 of 640 in Georgia.
NPI age
9 years
Enumerated 2016-12-12
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-05-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
9 years
↓ 4 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-12Enumerated in NPPES
2016 2026

Where they practice

Practice location
800 Kennesaw Ave Nw Ste 120
Marietta, GA 30060
📞 4703368190fax 7703366620
Mailing address
800 Kennesaw Ave Nw Ste 120
Marietta, GA 300601052
📞 4703368190fax 7703366620

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1720 Mars Hill Rd Nw Ste 8-175
Acworth, GA 301017127
📞 4703368190fax 7703366620

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Marietta in the last 180 days. See all →
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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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