NPI age
19 years
Enumerated 2007-03-30
● Active
Type 1 · Individual
Cory M Stanley, PA
Stanley is 1 of 33 physician assistant providers in Suwanee and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
FL, NC, GA
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-09
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
3 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Practice location
3245 Peachtree Pkwy # D188
Suwanee, GA 300246054
Mailing address
1103 Lakeshore Dr
Jupiter, FL 334588390
Additional practice locations
1 secondary location on file with NPPES.
Location 2
9060 N Military Trl
Palm Beach Gardens, FL 334105972
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 |
|---|---|---|
| 01 (GA) | 01061992 | AMERIGROUP |
| 01 (GA) | 567447065F | MEDICAID ID FOR URGENTONE |
| 01 (SC) | GPA892 | MEDICAID GROUP ID FOR URGENTONE |
| 01 (GA) | P00441750 | RR MEDICARE ID FOR URGENTONE |
| 01 (SC) | 0580PA | MEDICAID ID FOR URGENTONE |
| 05 (GA) | 567447065B | |
| 05 (GA) | 567447065 | |
| 01 (GA) | 567447065E | MEDICAID ID FOR URGENTONE |
| 05 (GA) | 567447065C | |
| 05 (GA) | 567447065A | |
| 01 (GA) | 511I970040 | MEDICARE ID FOR URGENTONE |
| 01 (SC) | GPA9002 | MEDICAID GROUP ID FOR URGENTONE |
| 05 (GA) | 567447065D |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No 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.