P Praxis·MD
● Active Type 1 · Individual

Sandra Gaytan

Technician·Ellenwood, GA· NPI 1366317620 · Enumerated 2025 · 0 years on NPI
Gaytan is 1 of 2 technician providers in Ellenwood and 1 of 262 in Georgia.
NPI age
— years
Enumerated 2025-10-07
Primary specialty
Technician
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 262 active technician providers in Georgia.

NPI age
0 years
↓ 5 yr below median (5 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
4% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-10Enumerated in NPPES
2025 2026

Where they practice

Practice location
3779 Grant Rd Lot 20
Ellenwood, GA 302942377
📞 4044534926
Mailing address
3779 Grant Rd Lot 20
Ellenwood, GA 302942377
📞 4044534926

Specialties

  • Technician Primary
    An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence,...
    taxonomy 3747A0650X

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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