P Praxis·MD
● Active Type 1 · Individual

Guillermo A Pena, MD

Internal Medicine·Blue Ridge, GA· NPI 1013978162 · Enumerated 2006 · 20 years on NPI
Pena is 1 of 8 internal medicine providers in Blue Ridge and 1 of 5027 in Georgia.
NPI age
20 years
Enumerated 2006-03-29
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-11-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
165 Blue Ridge Overlook
Blue Ridge, GA 305134431
📞 7069464647fax 7063745006
Mailing address
165 Blue Ridge Overlook
Blue Ridge, GA 305134431
📞 7069465608fax 7063747628

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #059493FL license #46222 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (GA) 297695058A
05 (FL) 040614700
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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