P Praxis·MD
● Active Type 1 · Individual

Tyrisa Burdine, SPECIALIST

Specialist·Lithia Springs, GA· NPI 1184201782 · Enumerated 2021 · 5 years on NPI
Burdine is 1 of 1 specialist providers in Lithia Springs and 1 of 250 in Georgia.
NPI age
5 years
Enumerated 2021-03-28
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 250 active specialist providers in Georgia.

NPI age
5 years
↓ 2 yr below median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
351 Thornton Rd Ste 118
Lithia Springs, GA 301221589
📞 8654558410
Mailing address
351 Thornton Rd Ste 118
Lithia Springs, GA 301221589
📞 8654558410

Specialties

  • Specialist Primary
    A case manager who provides services for patients with prosthetics.
    GA license #CO131275 taxonomy 1744P3200X

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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