P Praxis·MD
● Active Type 1 · Individual

Jonathan Fairley, MD

Internal Medicine·Moultrie, GA· NPI 1174866503 · Enumerated 2013 · 13 years on NPI
Fairley is 1 of 21 internal medicine providers in Moultrie and 1 of 5027 in Georgia.
NPI age
13 years
Enumerated 2013-04-04
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
3131 S Main St
Moultrie, GA 317686925
📞 2295029782
Mailing address
Po Box 2876
Moultrie, GA 317762876
📞 2295029782

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4700 Waters Ave
Savannah, GA 314046220
📞 9123500583fax 9123507270

Specialties

  • Internal Medicine Primary
    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,...
    GA license #074820 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 122 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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