P Praxis·MD
● Active Type 1 · Individual

Sydney Momo Wang

Physician Assistant·Marietta, GA· NPI 1801293550 · Enumerated 2014 · 11 years on NPI
Wang is 1 of 207 physician assistant providers in Marietta and 1 of 4616 in Georgia.
NPI age
11 years
Enumerated 2014-11-24
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-12-14
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
11 years
↑ 3 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

2014-11Enumerated in NPPES
2014 2026

Where they practice

Practice location
100 Lacy St Nw Ste 150
Marietta, GA 300601273
📞 7707937635
Mailing address
100 Lacy St Nw Ste 150
Marietta, GA 300601273
📞 7707937635

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. 5 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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