P Praxis·MD
● Active Type 1 · Individual

Amielle Lydia Smith, PAC

Physician Assistant·Martinez, GA· NPI 1861009375 · Enumerated 2020 · 5 years on NPI
Smith is 1 of 6 physician assistant providers in Martinez and 1 of 4616 in Georgia.
NPI age
5 years
Enumerated 2020-09-29
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-01-07
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
5 years
↓ 3 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
4106 Columbia Rd Ste 103
Martinez, GA 309071482
📞 7068631440fax 7068635418
Mailing address
4106 Columbia Rd Ste 103
Martinez, GA 309071482
📞 7068631440fax 7068635418

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 #00000 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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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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