P Praxis·MD
● Active Type 1 · Individual

DR. Mildred Joann Santorufo, DO

Family Medicine·Kennesaw, GA· NPI 1134103450 · Enumerated 2005 · 20 years on NPI
Santorufo is 1 of 47 family medicine providers in Kennesaw and 1 of 5448 in Georgia.
NPI age
20 years
Enumerated 2005-11-30
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
1275 Shiloh Rd Nw Ste 2051
Kennesaw, GA 301447199
📞 6787374863fax 7062224016
Mailing address
1275 Shiloh Rd Nw Ste 2051
Kennesaw, GA 301447199
📞 6787374863fax 7062224016

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 #054935 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (NC) 89066VF
01 26465621 TRICARE SOUTH
05 (TN) 3307791
05 (GA) 197568594B
01 P00040221 RAILROAD MEDICARE
01 (GA) P00927672 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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