P Praxis·MD
● Active Type 1 · Individual

Mahboubeh Pishgou

Physician Assistant·Augusta, GA· NPI 1770907693 · Enumerated 2014 · 12 years on NPI
Pishgou is 1 of 233 physician assistant providers in Augusta and 1 of 4616 in Georgia.
NPI age
12 years
Enumerated 2014-02-12
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2017-01-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
12 years
↑ 4 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-02Enumerated in NPPES
2014 2026

Where they practice

Practice location
1120 15th St
Augusta, GA 309120004
📞 7067212971fax 7067217248
Mailing address
1120 15th St
Augusta, GA 309120004
📞 7067212971fax 7067217248

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...
    taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 1593 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new physician assistant providers have been added in Augusta 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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