P Praxis·MD
● Active Type 1 · Individual

DR. Venu Gourineni, MD

Internal Medicine·Canton, GA· NPI 1154473635 · Enumerated 2007 · 19 years on NPI
Gourineni is 1 of 17 internal medicine providers in Canton and 1 of 952 in Georgia.
NPI age
19 years
Enumerated 2007-01-17
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
MI, PA, GA
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 952 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 82% — 17% of peers are multi-state
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
460 Northside Cherokee Blvd Ste 150
Canton, GA 301158018
📞 4706396250fax 7703450712
Mailing address
460 Northside Cherokee Blvd Ste 150
Canton, GA 301158018
📞 4706396250fax 7703450712

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1722 Shaffer St Ste 1
Kalamazoo, MI 490481633
📞 2693813963

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    MI license #4301094579GA license #100195 taxonomy 207RC0000X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    MI license ##4301094579PA license #MT187681 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (MI) 1154473635
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 7 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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