P Praxis·MD
● Active Type 1 · Individual

MS. Jacqueline Paige Anderson, R.T.(R)

Radiologic Technologist·Snellville, GA· NPI 1962352898 · Enumerated 2026 · 0 years on NPI
Anderson is 1 of 1 radiologic technologist providers in Snellville and 1 of 35 in Georgia.
NPI age
— years
Enumerated 2026-01-30
Primary specialty
Radiologic Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 35 active radiologic technologist providers in Georgia.

NPI age
0 years
↓ 11 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-01Enumerated in NPPES
2026 2026

Where they practice

Practice location
2306 Wisteria Dr Ste 240
Snellville, GA 300783563
📞 4048474129fax 6783444947
Mailing address
2306 Wisteria Dr Ste 240
Snellville, GA 300783563
📞 4048474129fax 6783444947

Specialties

  • Radiologic Technologist Primary
    A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
    GA license #350708 taxonomy 247100000X

Practice context

Part of a multi-provider practice. 2 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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