P Praxis·MD
● Active Type 1 · Individual

Shibu Philip, MD

Internal Medicine·Fayetteville, GA· NPI 1356430607 · Enumerated 2006 · 19 years on NPI
Philip is 1 of 21 internal medicine providers in Fayetteville and 1 of 952 in Georgia.
NPI age
19 years
Enumerated 2006-10-12
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, VA, NC
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 952 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
3 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1267 Highway 54 W Ste 2200
Fayetteville, GA 302142110
📞 7707160051
Mailing address
Po Box 751803
Charlotte, NC 282751803
📞 3362772000fax 3362772050

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
600 Gresham Dr
Norfolk, VA 235071904
📞 7573888870
Location 3
3006 Webster St
Omaha, NE 681312027
📞 4022804235
Location 4
186 Kimel Park Dr
Winston Salem, NC 271036946
📞 3362772000fax 3362772050

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    GA license #98806VA license #0101279895NC license #2012-02030 taxonomy 207RC0000X

Practice context

Part of a multi-provider practice. 27 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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