P Praxis·MD
● Active Type 1 · Individual

Vincent T Peng, MD

Dermatology·Stockbridge, GA· NPI 1245302165 · Enumerated 2006 · 19 years on NPI
Peng is 1 of 5 dermatology providers in Stockbridge and 1 of 483 in Georgia.
NPI age
19 years
Enumerated 2006-11-15
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-09-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
191 Medical Boulevard
Stockbridge, GA 30281
📞 7709911000fax 7709912088
Mailing address
191 Medical Blvd
Stockbridge, GA 30281
📞 7709911000fax 7709912088

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #014652 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 (GA) 1245302165 BCBSGA PROVIDER NUMBER

Practice context

Solo or small practice. No 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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