P Praxis·MD
● Active Type 1 · Individual

DR. Irene A Omotoso, MD

Internal Medicine·Peachtree City, GA· NPI 1205848785 · Enumerated 2006 · 19 years on NPI
Omotoso is 1 of 12 internal medicine providers in Peachtree City and 1 of 5027 in Georgia.
NPI age
19 years
Enumerated 2006-08-12
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
112 Governors Sq Ste B
Peachtree City, GA 302694864
📞 6789328112fax 6789328113
Mailing address
112 Governors Sq Ste B
Peachtree City, GA 302694864
📞 6789328112fax 6789328113

Additional practice locations

1 secondary location on file with NPPES.

Location 2
401 Westpark Ct Ste 200
Peachtree City, GA 302693572
📞 6789328112fax 6789328113

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 #053629 taxonomy 207R00000X
  • Hospitalist
    Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term...
    GA license #053629 taxonomy 208M00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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