P Praxis·MD
● Active Type 1 · Individual

Manjushree Ghose, MD

Preventive Medicine·East Point, GA· NPI 1386644961 · Enumerated 2005 · 20 years on NPI
Ghose is 1 of 3 preventive medicine providers in East Point and 1 of 131 in Georgia.
NPI age
20 years
Enumerated 2005-07-26
Primary specialty
Preventive Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-10-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 131 active preventive medicine providers in Georgia.

NPI age
20 years
↑ 6 yr above median (14 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
1595 Cleveland Ave
East Point, GA 303443200
📞 4046162886fax 4042091769
Mailing address
75 Piedmont Ave, Suite 700
Atlanta, GA 303032544
📞 4046161776fax 4042417162

Specialties

  • Preventive Medicine Primary
    Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with...
    GA license #042827 taxonomy 2083P0901X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #042827 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 00821631

Practice context

Part of a multi-provider practice. 9 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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