P Praxis·MD
● Active Type 1 · Individual

DR. Glenn Blaise Gatipon, MD PHD MBA

Internal Medicine·Kennesaw, GA· NPI 1306287750 · Enumerated 2013 · 12 years on NPI
Gatipon is 1 of 1 internal medicine providers in Kennesaw and 1 of 13 in Georgia.
NPI age
12 years
Enumerated 2013-07-15
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 13 active internal medicine providers in Georgia.

NPI age
12 years
↑ 7 yr above median (5 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
888 Old Mountain Rd Nw
Kennesaw, GA 301523843
📞 7704260102
Mailing address
400 Tower Rd Ne Ste 150
Marietta, GA 300609416
📞 6785815252

Specialties

  • Internal Medicine Primary
    A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to...
    GA license #23962 taxonomy 207RB0002X

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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