P Praxis·MD
● Active Type 1 · Individual

Katelyn Martin

Clinic/Center·Tucker, GA· NPI 1306547195 · Enumerated 2023 · 3 years on NPI
Martin is 1 of 2 clinic/center providers in Tucker and 1 of 247 in Georgia.
NPI age
3 years
Enumerated 2023-03-17
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 247 active clinic/center providers in Georgia.

NPI age
3 years
↓ 2 yr below median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
3754 Lavista Rd Ste 200
Tucker, GA 300845627
📞 6788968246
Mailing address
3754 Lavista Rd Ste 200
Tucker, GA 300845627
📞 6788968246

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
    GA license #APC008329 taxonomy 261QM0850X

Practice context

Part of a multi-provider practice. 14 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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