P Praxis·MD
● Active Type 1 · Individual

MRS. Pandora G Brown, CERTIFIED HAIR LOSS

Specialist·Fayetteville, GA· NPI 1104343839 · Enumerated 2017 · 8 years on NPI
Brown is 1 of 3 specialist providers in Fayetteville and 1 of 250 in Georgia.
NPI age
8 years
Enumerated 2017-08-23
Primary specialty
Specialist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 250 active specialist providers in Georgia.

NPI age
8 years
≈ at median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-08Enumerated in NPPES
2017 2026

Where they practice

Practice location
65 Black Watch Ct
Fayetteville, GA 30215
📞 4047888364fax 7707038736
Mailing address
65 Black Watch Ct
Fayetteville, GA 302158047
📞 4047888364fax 7707038736

Specialties

  • Specialist Primary
    A case manager who provides services for patients with prosthetics.
    taxonomy 1744P3200X

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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