P Praxis·MD
● Active Type 1 · Individual

MR. Mauricio Andres Medina Mieles, MD

Student in an Organized Health Care Education/Training Program·Chatsworth, GA· NPI 1114779113 · Enumerated 2024 · 2 years on NPI
Medina Mieles is 1 of 11 student in an organized health care education/training program providers in Chatsworth and 1 of 6569 in Georgia.
NPI age
2 years
Enumerated 2024-04-03
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6569 active student in an organized health care education/training program providers in Georgia.

NPI age
2 years
≈ at median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-04Enumerated in NPPES
2024 2026

Where they practice

Practice location
800 Gi Maddox Parkway
Chatsworth, GA 30705
📞 7066868015fax 7066868221
Mailing address
1200 Memorial Drive
Dalton, GA 30720
📞 7062268996fax 7062726761

Specialties

  • Student in an Organized Health Care Education/Training Program Primary
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    GA license #16884 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 8 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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