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

Mrs. Sandra E Deconza, PA-C

Individual provider Medical Physician Assistant · NPI 1467418723

Mrs. Sandra E Deconza, PA-C is a Physician Assistant in Canton, Georgia. Qualified in 2004, 22 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2006
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266
Phone: (678) 341-6360
Fax: (678) 626-7900
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8058 (GA)

Record details

NPI number1467418723
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address4300 N Point Pkwy Ste 300, Alpharetta, GA 30022-4102

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canton