NPI age
19 years
Enumerated 2006-06-16
● Active
Type 1 · Individual
Rae Riley Dewoody, P.A-C
Dewoody is 1 of 9 physician assistant providers in Lithonia and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
CA
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
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
2801 Dekalb Medical Pkwy
Lithonia, GA 300584996
Mailing address
2100 Powell St, Ste 920
Emeryville, CA 946081826
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 100001061D | |
| 05 (GA) | 100001061B | |
| 05 (GA) | 100001061C |
Practice context
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 4616 Physician Assistant providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- 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.