P Praxis·MD
● Active Type 1 · Individual

Nicholas Koullas, DO

Surgery·Atlanta, GA· NPI 1407415672 · Enumerated 2019 · 6 years on NPI
Koullas is 1 of 232 surgery providers in Atlanta and 1 of 1389 in Georgia.
NPI age
6 years
Enumerated 2019-06-11
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
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
6 years
↓ 11 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
1365 Clifton Rd Ne, Bldg A Flr 2
Atlanta, GA 30322
📞 4047787973
Mailing address
1365 Clifton Rd Ne, Bldg A Flr 2
Atlanta, GA 30322

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 #105423 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 439 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new surgery provider has been added in Atlanta in the last 180 days. See all →
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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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