P Praxis·MD
● Active Type 1 · Individual

Kazumi Chino, M.D.

Radiology·MacOn, GA· NPI 1053521682 · Enumerated 2007 · 19 years on NPI
Chino is 1 of 6 radiology providers in MacOn and 1 of 220 in Georgia.
NPI age
19 years
Enumerated 2007-05-23
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
GA, AZ, IN, FL
4 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 220 active radiology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
4 states
Top 74% — 25% of peers are multi-state
Subspecialties
0
42% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
800 1st St Ste 110
MacOn, GA 312018306
📞 4787433466fax 4787462049
Mailing address
800 1st St Ste 110
MacOn, GA 312018306
📞 4787433466fax 7874620494

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    GA license #82624AZ license #72755IN license #01066492AFL license #ME125656 taxonomy 2085R0001X

Identifiers

TypeValueNotes
05 (IN) 200952470
01 (FL) P01564915 RAILROAD MEDICARE PTAN
05 (GA) 003219046A
05 (FL) 015771800
01 (IN) 000000618824 ANTHEM PIN
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No 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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