P Praxis·MD
● Active Type 1 · Individual

Mark D Skyiepal, MD

Surgery·Augusta, GA· NPI 1124040266 · Enumerated 2006 · 19 years on NPI
Skyiepal is 1 of 91 surgery providers in Augusta and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2006-07-25
Primary specialty
Surgery
Plus 4 subspecialties
Licensed in
GA, TX, WA, WI
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
4 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2258 Wrightsboro Rd Ste 170
Augusta, GA 309044788
📞 7064817947
Mailing address
791 N Highway 77 Ste 501c
Waxahachie, TX 751651985
📞 8885585756fax 8885585754

Additional practice locations

4 secondary locations on file with NPPES.

Location 2
208 S 14th St
Mount Vernon, WA 982744117
📞 3608142600fax 3608148390
Location 3
14860 Montfort Dr Ste 115
Dallas, TX 752546873
📞 4694315656fax 8776588663
Location 4
791 N Highway 77, Ste 501-C #239
Waxahachie, TX 751651977
📞 8885585756fax 8885585754
Location 5
14860 Montfort Dr Ste 115
Dallas, TX 752546873
📞 4694315656fax 8776588663

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #109963TX license #J1570WA license #MD61639297WI license #2334 taxonomy 208600000X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    TX license #J1570 taxonomy 208D00000X

Identifiers

TypeValueNotes
05 (TX) 046230104
05 (TX) 046230105
05 (TX) 046230106
05 (WI) 100217995
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No 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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