P Praxis·MD
● Active Type 1 · Individual

Brooke Mahdavi, DMD

Dentist·Atlanta, GA· NPI 1184283111 · Enumerated 2019 · 6 years on NPI
Mahdavi is 1 of 57 dentist providers in Atlanta and 1 of 526 in Georgia.
NPI age
6 years
Enumerated 2019-06-12
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 526 active dentist providers in Georgia.

NPI age
6 years
↓ 11 yr below median (17 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
955 Memorial Dr Se Ste 530
Atlanta, GA 303161566
📞 7708005802
Mailing address
55 Chester Ave Se
Atlanta, GA 303161201
📞 2399400867

Additional practice locations

1 secondary location on file with NPPES.

Location 2
100 Carnegie Pl Ste 102
Fayetteville, GA 302143905
📞 2399400867

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    GA license #DN015346 taxonomy 1223X0400X

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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