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

Carolina Marie Colon

Individual provider Behavior Technician · NPI 1174108666

Carolina Marie Colon is a Physician Assistant in Roswell, Georgia. Qualified in 2024, 2 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2500 Hospital Blvd Ste 310
Roswell, GA 30076-4947
Phone: (770) 764-9600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 12945 (GA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1174108666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 16, 2021
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Roswell