P Praxis·MD
● Active Type 1 · Individual

MR. Jarred Ricketts, PA

Physician Assistant·Gainesville, GA· NPI 1740724814 · Enumerated 2016 · 9 years on NPI
Ricketts is 1 of 55 physician assistant providers in Gainesville and 1 of 640 in Georgia.
NPI age
9 years
Enumerated 2016-12-08
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-18
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
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
200 S Enota Dr Ne, Suite 380
Gainesville, GA 305013473
📞 7702197099fax 7702197923
Mailing address
Po Box 742616
Atlanta, GA 303742616
📞 7702198420

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #008254 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 640 Physician Assistant providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

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.

Related