P Praxis·MD
● Active Type 1 · Individual

Mallikarjun Samala, MD

Family Medicine·Conyers, GA· NPI 1093101511 · Enumerated 2015 · 11 years on NPI
Samala is 1 of 41 family medicine providers in Conyers and 1 of 5448 in Georgia.
NPI age
11 years
Enumerated 2015-04-10
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
GA, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
11 years
↓ 6 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
1412 Milstead Ave Ne
Conyers, GA 300123877
📞 7709188079
Mailing address
11085 Callaway Dr
Johns Creek, GA 300972622
📞 7708003372

Additional practice locations

1 secondary location on file with NPPES.

Location 2
11085 Callaway Dr
Johns Creek, GA 300972622
📞 7708003372

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #79910LA license #1093101511 taxonomy 207Q00000X
  • Hospitalist
    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
    GA license #79910 taxonomy 208M00000X

Practice context

Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new family medicine providers have been added in Conyers in the last 180 days. See all →
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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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