P Praxis·MD
● Active Type 1 · Individual

Charles Augustin Staley, MD

Surgery·Atlanta, GA· NPI 1134132657 · Enumerated 2006 · 19 years on NPI
Staley is 1 of 21 surgery providers in Atlanta and 1 of 56 in Georgia.
NPI age
19 years
Enumerated 2006-08-14
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-09-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 56 active surgery providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
33% of peers hold multiple states
Subspecialties
0
57% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1365 Clifton Rd Ne, Bldg C
Atlanta, GA 303221013
📞 4047783301
Mailing address
1365 Clifton Rd Ne, Bldg C
Atlanta, GA 303221013
📞 4047783301

Specialties

  • Surgery Primary
    A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major...
    GA license #040559 taxonomy 2086X0206X

Identifiers

TypeValueNotes
01 (GA) 542386 BCBS
01 (GA) 1299416 UNITED HEALTHCARE
05 (GA) 000664331A
01 (GA) 581116 US HEALTHCARE
01 (GA) 910000107 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 439 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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