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.

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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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