P Praxis·MD
● Active Type 1 · Individual

Kavita Perumal Krishnasamy, M.D.

Internal Medicine·Fayetteville, GA· NPI 1407099575 · Enumerated 2009 · 17 years on NPI
Krishnasamy is 1 of 1 internal medicine providers in Fayetteville and 1 of 105 in Georgia.
NPI age
17 years
Enumerated 2009-04-19
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 105 active internal medicine providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
65% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Practice location
1267 Highway 54 W Ste 4100
Fayetteville, GA 302142112
📞 7705065470fax 7705065471
Mailing address
1267 Highway 54 W Ste 4100
Fayetteville, GA 302142112
📞 7705065470fax 7705065471

Specialties

  • Internal Medicine Primary
    A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
    GA license #83131 taxonomy 207RC0001X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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