P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth L Boss, MD

Family Medicine·Carrollton, GA· NPI 1104891472 · Enumerated 2006 · 20 years on NPI
Boss is 1 of 32 family medicine providers in Carrollton and 1 of 5448 in Georgia.
NPI age
20 years
Enumerated 2006-02-21
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
820 Maple St
Carrollton, GA 301173626
📞 6783907915
Mailing address
Po Box 728
Bremen, GA 301100728
📞 7705371234

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
705 Dallas Hwy, Suite 101
Villa Rica, GA 301801247
📞 7704564411fax 7708123582
Location 3
1009 Alabama Ave S
Bremen, GA 301102501
📞 6788216400

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 #052425 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (GA) 1861915647 GROUP NPI
05 (GA) 277491774A

Practice context

Part of a multi-provider practice. 3 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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