P Praxis·MD
● Active Type 1 · Individual

MR. Brendan Barrett Shaw, PA-C

Physician Assistant·Marietta, GA· NPI 1770111817 · Enumerated 2020 · 6 years on NPI
Shaw is 1 of 50 physician assistant providers in Marietta and 1 of 640 in Georgia.
NPI age
6 years
Enumerated 2020-04-01
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-14
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
6 years
↓ 7 yr below median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
61 Whitcher St Ne Ste 4120
Marietta, GA 300601179
📞 7704249732fax 7704210228
Mailing address
61 Whitcher St Ne Ste 4120
Marietta, GA 300601179
📞 7704249732fax 7704210228

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
250 Hickok Ave
Syracuse, NY 132063343
📞 3154477449
Location 3
1404 River Pl
Braselton, GA 305175600
📞 7702194000

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #10184 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 9 other active providers share 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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