P Praxis·MD
● Active Type 1 · Individual

MRS. Melissa Clare Willman, P.A.-C

Physician Assistant·Marietta, GA· NPI 1952613382 · Enumerated 2010 · 15 years on NPI
Willman is 1 of 73 physician assistant providers in Marietta and 1 of 1333 in Georgia.
NPI age
15 years
Enumerated 2010-07-14
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
15 years
≈ at median (15 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
4800 Olde Towne Pkwy Ste 420
Marietta, GA 300684424
📞 4042562535fax 4048454720
Mailing address
4800 Olde Towne Pkwy Ste 420
Marietta, GA 300684424
📞 4042562535fax 4048454720

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #008211NC license #001002388 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (NC) 8102465
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

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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