P Praxis·MD
● Active Type 1 · Individual

DR. Janine Nicole Pettiford, M.D.

Surgery·Fayetteville, GA· NPI 1043541725 · Enumerated 2010 · 16 years on NPI
Pettiford is 1 of 15 surgery providers in Fayetteville and 1 of 1389 in Georgia.
NPI age
16 years
Enumerated 2010-01-20
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, TX, MO
3 states
Status
Active
No deactivations on record
Last NPPES update
2016-11-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
16 years
≈ at median (17 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-01Enumerated in NPPES
2010 2026

Where they practice

Practice location
325 North Jeff Davis Dr
Fayetteville, GA 30214
📞 7704611337fax 7704610922
Mailing address
33 Upper Riverdale Road Sw, Suite 112
Fayetteville, GA 302141627
📞 7709963190

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #072414TX license #BP10023659MO license #2010013505 taxonomy 208600000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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