P Praxis·MD
● Active Type 1 · Individual

Robert Land, PA

Physician Assistant·Abbeville, GA· NPI 1972148708 · Enumerated 2019 · 6 years on NPI
Land is 1 of 1 physician assistant providers in Abbeville and 1 of 4616 in Georgia.
NPI age
6 years
Enumerated 2019-11-15
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-06-20
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
6 years
↓ 2 yr below median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-11Enumerated in NPPES
2019 2026

Where they practice

Practice location
417 Broad St S
Abbeville, GA 310014305
📞 2294673209fax 2294673212
Mailing address
417 Broad St S
Abbeville, GA 310014305
📞 2294673209

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
216 Edgefield Ave Nw
Aiken, SC 298013910
📞 8036484224
Location 3
613 S Grant St
Fitzgerald, GA 317503315
📞 2294240134fax 2294247390

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 #11017SC license #3418 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (GA) 11017 MEDICAL LICENSE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 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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