P Praxis·MD
● Active Type 1 · Individual

Carlos A Levy-Eliceiri, MD PA

General Practice·Saint Marys, GA· NPI 1306832639 · Enumerated 2005 · 20 years on NPI
Levy-Eliceiri is 1 of 3 general practice providers in Saint Marys and 1 of 661 in Georgia.
NPI age
20 years
Enumerated 2005-09-22
Primary specialty
General Practice
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 661 active general practice providers in Georgia.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
100 Lakeshore Dr, Suite B
Saint Marys, GA 315583800
📞 9128824254fax 8128829493
Mailing address
100 Lakeshore Dr, Suite B
Saint Marys, GA 315583800
📞 9128824254fax 8885129114

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #019967 taxonomy 208D00000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #019967 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (GA) 00176272A

Practice context

Part of a multi-provider practice. 3 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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