P Praxis·MD
● Active Type 1 · Individual

Jennifer Elaine Roberts, PA-C

Physician Assistant·Canton, GA· NPI 1750168241 · Enumerated 2023 · 2 years on NPI
Roberts is 1 of 48 physician assistant providers in Canton and 1 of 4616 in Georgia.
NPI age
2 years
Enumerated 2023-09-11
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 24% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
470 Northside Cherokee Blvd Ste 230
Canton, GA 301158029
📞 7709249656
Mailing address
111 Ivey Township Dr
Dallas, GA 301329226
📞 4049158845

Additional practice locations

1 secondary location on file with NPPES.

Location 2
450 Northside Cherokee Blvd
Canton, GA 301158015
📞 7702241000

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    GA license #11770 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    GA license #11770 taxonomy 363AM0700X
  • Physician Assistant
    Definition to come...
    GA license #11770 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 3 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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