P Praxis·MD
● Active Type 1 · Individual

DR. Brian Douglas Siddall, M.D.

General Practice·Mc Rae, GA· NPI 1205029352 · Enumerated 2007 · 18 years on NPI
Siddall is 1 of 1 general practice providers in Mc Rae and 1 of 661 in Georgia.
NPI age
18 years
Enumerated 2007-08-22
Primary specialty
General Practice
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 661 active general practice providers in Georgia.

NPI age
18 years
↑ 4 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
280 E Willow Creek Ln
Mc Rae, GA 310555128
📞 4788643448fax 4788641288
Mailing address
Po Box 371, 2251 West Elm Street
Wrightsville, GA 310960371
📞 4788643448fax 4788641288

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #023227 taxonomy 208D00000X

Identifiers

TypeValueNotes
01 (GA) 23227 STATE LICENSE

Practice context

Part of a multi-provider practice. 5 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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