P Praxis·MD
● Active Type 1 · Individual

DR. Swaroop Nyshadham, M.D.

General Practice·Lagrange, GA· NPI 1306892351 · Enumerated 2006 · 20 years on NPI
Nyshadham is 1 of 3 general practice providers in Lagrange and 1 of 661 in Georgia.
NPI age
20 years
Enumerated 2006-05-25
Primary specialty
General Practice
Plus 2 subspecialties
Licensed in
GA, AL, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2013-02-21
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
3 states
Top 93% — 6% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
1990 Lukken Industrial Dr W, Suite C
Lagrange, GA 302401404
📞 7068838787
Mailing address
103 Crestview Rd
West Point, GA 318335221
📞 7068838787

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 #031483 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...
    AL license #00013121FL license #ME 49553 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (GA) 000338357H
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

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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