P Praxis·MD
● Active Type 1 · Individual

Michael Daren Mudrey, DO

Surgery·Acworth, GA· NPI 1376574863 · Enumerated 2006 · 19 years on NPI
Mudrey is 1 of 9 surgery providers in Acworth and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2006-07-05
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-02-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
3540 Cobb Pkwy, Ste 100
Acworth, GA 30101
📞 7066323711
Mailing address
Po Box 1332
Mc Caysville, GA 305551332
📞 7066323711

Specialties

  • Surgery Primary
    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 #38564 taxonomy 208600000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    GA license #038564 taxonomy 207P00000X

Identifiers

TypeValueNotes
05 (GA) 000621398J

Practice context

Solo or small practice. No 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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