P Praxis·MD
● Active Type 1 · Individual

DR. Thomas J Federico, MD

Family Medicine·Woodstock, GA· NPI 1114035243 · Enumerated 2006 · 19 years on NPI
Federico is 1 of 55 family medicine providers in Woodstock and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2006-08-28
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-11-26
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
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
310 Gold Creek Trl, Suite 100
Woodstock, GA 301885435
📞 7709269495
Mailing address
104 Gold Springs Ct
Canton, GA 301146333
📞 4076974345

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 #065543FL license #ME0047275 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 47762 BCBS
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

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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