P Praxis·MD
● Active Type 1 · Individual

Glenda Yanira Alvarez Tarnoff, PA-C

Physician Assistant·Brookhaven, GA· NPI 1801958012 · Enumerated 2006 · 19 years on NPI
Tarnoff is 1 of 17 physician assistant providers in Brookhaven and 1 of 4616 in Georgia.
NPI age
19 years
Enumerated 2006-12-14
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-15
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
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
3925 Peachtree Rd Ne Ste 300
Brookhaven, GA 303195257
📞 4042314231
Mailing address
Po Box 769609
Roswell, GA 300768224
📞 7709214811fax 7709217943

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4030 Lawrenceville Hwy Nw, Ste. 9
Lilburn, GA 300472820
📞 7709214811fax 7709217943

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 #4183 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    GA license #004183 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (GA) 581762046 GA CLINIC GROUP TAX I.D.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Brookhaven 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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