P Praxis·MD
● Active Type 1 · Individual

Yahya Khalid Siddiq, M.D.

Internal Medicine·Austell, GA· NPI 1023085081 · Enumerated 2006 · 20 years on NPI
Siddiq is 1 of 6 internal medicine providers in Austell and 1 of 292 in Georgia.
NPI age
20 years
Enumerated 2006-03-08
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 292 active internal medicine providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Practice location
3825 Medical Park Dr Ste 200
Austell, GA 301066831
📞 7709485578fax 7709992363
Mailing address
3825 Medical Park Dr Ste 200
Austell, GA 301066831
📞 7709485578fax 7709992363

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1700 Hospital South Dr, Suite 200
Austell, GA 301066810
📞 7709485578

Specialties

  • Internal Medicine Primary
    An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary...
    GA license #018954 taxonomy 207RE0101X
  • Internal Medicine
    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 #018954 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (GA) 00152655A

Practice context

Part of a multi-provider practice. 4 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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