Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beretta Craft-Coffman, PA-C

Individual provider Surgical Physician Assistant · NPI 1285601880

Beretta Craft-Coffman, PA-C is a Physician Assistant in Canton, Georgia. Qualified in 1992, 34 years ago. Practices with Mississippi Burn Hand and Reconstruction Centers PC, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado, Florida, Georgia and Mississippi and 6 more.

Years since qualifying
34
Licensed in
CO, FL, GA, MS, NC, NV
In the registry since
2006
Specialties on file
11
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

125 Oakside Ct Ste 102
Canton, GA 30114-2498
Phone: (770) 213-8376
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1225 N State St, Jackson, MS 39202-2064 — (833) 672-8767
  • 3186 S Maryland Pkwy, Las Vegas, NV 89109-2317 — (725) 433-7788

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 002366 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.0004259 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9106348 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA2198 (NV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-10058 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00325 (MS)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1199 (SC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA0659 (NV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA0000001672 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA09999 (TX)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0110007147 (VA)

Record details

NPI number1285601880
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 2, 2006
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Mississippi Burn Hand And Reconstruction Centers Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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