P Praxis·MD
● Active Type 1 · Individual

Ashley Chadwick Dieterich, PA-C

Physician Assistant·Lawrenceville, GA· NPI 1962816132 · Enumerated 2014 · 11 years on NPI
Dieterich is 1 of 112 physician assistant providers in Lawrenceville and 1 of 4616 in Georgia.
NPI age
11 years
Enumerated 2014-06-16
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-28
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
11 years
↑ 3 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
1000 Medical Center Blvd
Lawrenceville, GA 300467694
📞 6783121000
Mailing address
6123 Stella Light Dr
Flowery Branch, GA 305423445
📞 6783580946

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 #7182 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 495 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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