P Praxis·MD
● Active Type 1 · Individual

Edward Park Kang, M.D.

Surgery·Canton, GA· NPI 1154504082 · Enumerated 2007 · 18 years on NPI
Kang is 1 of 2 surgery providers in Canton and 1 of 268 in Georgia.
NPI age
18 years
Enumerated 2007-12-13
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, MN, MI
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-04-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
3 states
Top 82% — 17% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-12Enumerated in NPPES
2007 2026

Where they practice

Practice location
460 Northside Cherokee Blvd Ste 100
Canton, GA 301158017
📞 7702923490fax 7707215615
Mailing address
980 Johnson Fy Rd Ne, Ste 1040
Atlanta, GA 303421626
📞 7702923496fax 4043002317

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #70309MN license #54147 taxonomy 2086S0129X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    MI license #4301086626 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (GA) 003135923B
05 (GA) 003135923A
05 (GA) 003135923D
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 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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