P Praxis·MD
● Active Type 1 · Individual

Nidha Jivan, PA

Physician Assistant·Snellville, GA· NPI 1902580772 · Enumerated 2023 · 2 years on NPI
Jivan is 1 of 36 physician assistant providers in Snellville and 1 of 4616 in Georgia.
NPI age
2 years
Enumerated 2023-06-12
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-22
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
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Practice location
1800 Tree Ln Ste 250
Snellville, GA 300786799
📞 7707366300
Mailing address
410 Meijer Dr
Florence, KY 410425128

Additional practice locations

1 secondary location on file with NPPES.

Location 2
410 Meijer Dr
Florence, KY 410425128
📞 6613045415

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 #11663 taxonomy 363A00000X
  • Internal Medicine
    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
    GA license #11663 taxonomy 207RI0011X

Practice context

Part of a multi-provider practice. 9 other active providers share 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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