P Praxis·MD
● Active Type 2 · Organization

Physcians Immediate Med Of Canton, Pc

Clinic/Center·Canton, GA· NPI 1013053115 · Enumerated 2007 · 19 years on NPI
Physcians Immediate Med Of Canton, Pc is 1 of 354 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-29
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cooley
Owner
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 354 active clinic/center providers in Georgia.

NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
720 Transit Ave Ste 101
Canton, GA 301142571
📞 7707207000fax 7707207055
Mailing address
720 Transit Ave Ste 101
Canton, GA 301142571
📞 7707207000fax 7707207055

Authorized official

Charles R Cooley, M.D.
Owner
📞 7707207000

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #035839 taxonomy 261QU0200X

Practice context

Multi-provider organization. 3 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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