P Praxis·MD
● Active Type 1 · Individual

MR. Gautam Jagoo, MD

Radiology·Snellville, GA· NPI 1124092986 · Enumerated 2006 · 20 years on NPI
Jagoo is 1 of 11 radiology providers in Snellville and 1 of 1280 in Georgia.
NPI age
20 years
Enumerated 2006-02-16
Primary specialty
Radiology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
1700 Medical Way
Snellville, GA 300782195
📞 7709790200
Mailing address
2225 Sundown Dr Ne
Atlanta, GA 303453552
📞 4048054947fax 4045015707

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #05601 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 127 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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