P Praxis·MD
● Active Type 1 · Individual

Matthew B Grundfast, D.O.

Internal Medicine·Dublin, GA· NPI 1124011085 · Enumerated 2005 · 20 years on NPI
Grundfast is 1 of 8 internal medicine providers in Dublin and 1 of 643 in Georgia.
NPI age
20 years
Enumerated 2005-08-25
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 643 active internal medicine providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
111 Fairview Park Dr
Dublin, GA 310212501
📞 4782771929fax 4783041468
Mailing address
130 E Westerlee Dr
Leesburg, GA 317635817
📞 2298865150fax 6822002084

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2740 Ray Knight Way Ste 100
Albany, GA 317070226
📞 2293120698fax 2294387898
Location 3
104 Fairview Park Dr
Dublin, GA 310212565
📞 4782771255fax 4783041467

Specialties

  • Internal Medicine Primary
    An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
    GA license #052944 taxonomy 207RG0100X

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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