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

Michelle Elizabeth Dehaven

Individual provider Emergency Medicine Physician · NPI 1083330351

Michelle Elizabeth Dehaven is a Physician Assistant in Marietta, Georgia. Qualified in 2023, 3 years ago. Practices with Wellstreet of Georgia PC, a 431-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

115 Cherry St NE
Marietta, GA 30060-7205
Phone: (770) 793-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3093 Flowers Rd S Apt N, Atlanta, GA 30341-5655 — (570) 460-1986
  • 3093 Flowers Rd S Apt N, Atlanta, GA 30341-5655 — (570) 460-1986
  • 4238 Sterling Pointe Dr, Douglasville, GA 30135-5037 — (570) 460-1986

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 12342 (GA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083330351
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2022
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wellstreet Of Georgia Pc — 431 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Marietta