P Praxis·MD
● Active Type 1 · Individual

MR. Kenneth Craig Stallings, L..O.

Specialist·Blue Ridge, GA· NPI 1205900909 · Enumerated 2006 · 19 years on NPI
Stallings is 1 of 3 specialist providers in Blue Ridge and 1 of 1881 in Georgia.
NPI age
19 years
Enumerated 2006-11-17
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-02-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1881 active specialist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
5801 Blue Ridge Dr
Blue Ridge, GA 305133245
📞 7066320384
Mailing address
270 Gunite Cir, #9251
Ellijay, GA 305406453
📞 7066692386

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #00013 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 003128965A

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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