P Praxis·MD
● Active Type 1 · Individual

Mary Street Logan, MD

Anesthesiology·Thomaston, GA· NPI 1225021918 · Enumerated 2005 · 20 years on NPI
Logan is 1 of 4 anesthesiology providers in Thomaston and 1 of 1712 in Georgia.
NPI age
20 years
Enumerated 2005-08-26
Primary specialty
Anesthesiology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-03-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1712 active anesthesiology providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
801 W Gordon St
Thomaston, GA 302863426
📞 7066478111fax 7066474389
Mailing address
Po Box 589
Thomaston, GA 302860008
📞 7066478111fax 7066474389

Specialties

  • Anesthesiology Primary
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    GA license #040466 taxonomy 207L00000X

Identifiers

TypeValueNotes
01 P00144203 RAILROAD MEDICARE
05 (GA) 183893252B
01 925994 BLUE CROSS BLUE SHIELD

Practice context

Part of a multi-provider practice. 37 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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