P Praxis·MD
● Active Type 1 · Individual

DR. Stacey Willingham, M.D.

Physical Medicine & Rehabilitation·Kennesaw, GA· NPI 1144485293 · Enumerated 2008 · 17 years on NPI
Willingham is 1 of 7 physical medicine & rehabilitation providers in Kennesaw and 1 of 489 in Georgia.
NPI age
17 years
Enumerated 2008-07-28
Primary specialty
Physical Medicine & Rehabilitation
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-03-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 489 active physical medicine & rehabilitation providers in Georgia.

NPI age
17 years
↑ 3 yr above median (14 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
2774 N. Cobb Pkwy., Suite 109, #133
Kennesaw, GA 301523334
📞 4049641474
Mailing address
2774 N Cobb Pkwy, Suite 109, #133
Kennesaw, GA 301523469

Specialties

  • Physical Medicine & Rehabilitation Primary
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    GA license #041426 taxonomy 208100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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