P Praxis·MD
● Active Type 1 · Individual

DR. Mark William El-Deiry, M.D.

Otolaryngology·Newnan, GA· NPI 1093752719 · Enumerated 2006 · 19 years on NPI
El-Deiry is 1 of 9 otolaryngology providers in Newnan and 1 of 450 in Georgia.
NPI age
19 years
Enumerated 2006-06-01
Primary specialty
Otolaryngology
Plus 2 subspecialties
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
775 Poplar Rd Ste 240
Newnan, GA 302658300
📞 7704007830
Mailing address
775 Poplar Rd Ste 240
Newnan, GA 302658300
📞 7704007830

Additional practice locations

1 secondary location on file with NPPES.

Location 2
The Emory Clinic, 1365 A Clifton Rd Ne
Atlanta, GA 303220001
📞 4047785329

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    GA license #66483FL license #ME 98348 taxonomy 207Y00000X
  • Otolaryngology
    An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial...
    GA license #66483 taxonomy 207YX0007X

Identifiers

TypeValueNotes
01 (FL) 96608 BLUE CROSS BLUE SHIELD
05 (FL) 278414900
Multi-state credentialing: Licensed in 2 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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