Beretta Craft-coffman, P.A.-C
Beretta Craft-coffman, P.A.-C is a Surgical Physician Assistant in Canton, GA, registered under NPI 1285601880.
Getting there
The practice address on file is 125 OAKSIDE CT STE 102, Canton, GA 30114. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 002366 | GA | Surgical Physician Assistant primary |
| PA.0004259 | CO | Surgical Physician Assistant |
| PA9106348 | FL | Surgical Physician Assistant |
| PA2198 | NV | Surgical Physician Assistant |
| 0010-10058 | NC | Surgical Physician Assistant |
| PA00325 | MS | Surgical Physician Assistant |
| 1199 | SC | Surgical Physician Assistant |
| PA0659 | NV | Surgical Physician Assistant |
| PA0000001672 | TN | Surgical Physician Assistant |
| PA09999 | TX | Surgical Physician Assistant |
| 0110007147 | VA | Surgical Physician Assistant |
Licences are recorded in 10 states: GA, CO, FL, NV, NC, MS, SC, TN, TX, VA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 4981691227
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 10 states
This provider holds licences in 10 states: Colorado, Florida, Georgia, Mississippi, North Carolina, Nevada, South Carolina, Tennessee, Texas and Virginia. The practice address on file is in Canton, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 002366
- Specialty
- Surgical Physician Assistant
- Licence
- 0010-10058
- Specialty
- Surgical Physician Assistant
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Surgical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
All registered taxonomy codes
This provider registers 11 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363AS0400X | Surgical Physician Assistant Surgical | 002366 | GA | primary |
| 363AS0400X | Surgical Physician Assistant Surgical | PA.0004259 | CO | |
| 363AS0400X | Surgical Physician Assistant Surgical | PA9106348 | FL | |
| 363AS0400X | Surgical Physician Assistant Surgical | PA2198 | NV | |
| 363AS0400X | Surgical Physician Assistant Surgical | 0010-10058 | NC | |
| 363AS0400X | Surgical Physician Assistant Surgical | PA00325 | MS | |
| 363AS0400X | Surgical Physician Assistant Surgical | 1199 | SC | |
| 363AS0400X | Surgical Physician Assistant Surgical | PA0659 | NV | |
| 363AS0400X | Surgical Physician Assistant Surgical | PA0000001672 | TN | |
| 363AS0400X | Surgical Physician Assistant Surgical | PA09999 | TX | |
| 363AS0400X | Surgical Physician Assistant Surgical | 0110007147 | VA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1285601880 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 2, 2006 |
| Last updated | Jun 20, 2025 |
| Status | Active |
| Sole proprietor | No |
| Credential | P.A.-C |
| Practice address |
125 OAKSIDE CT STE 102 Canton, GA 30114 (770) 213-8376 |
| Mailing address |
626 BENT CREEK DR Evans, GA 30809 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 8 | 5 | 6 | 0 | 1 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 7 | 5 | 3 | 0 | 2 | 8 | 7 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.