NPI age
12 years
Enumerated 2013-09-03
● Active
Type 1 · Individual
Angie S Bradley, PA-C
Bradley is 1 of 9 physician assistant providers in Woodstock and 1 of 640 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-01-31
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
12 years
≈ at median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-09Enumerated in NPPES
2013
2026
Where they practice
Practice location
1505 Stonebridge Parkway, Suite 200
Woodstock, GA 30189
Mailing address
300 Tower Road, Suite 200
Marietta, GA 300609403
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 202I971251 | MEDICARE PTAN |
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.