P Praxis·MD
● Active Type 1 · Individual

DR. Corazon Cabrera Tan, MD

Family Medicine·Roswell, GA· NPI 1417064510 · Enumerated 2006 · 19 years on NPI
Tan is 1 of 47 family medicine providers in Roswell and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2006-08-24
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, WI
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-09-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
880 Holcomb Bridge Rd, Suite 150-B
Roswell, GA 300761969
📞 7709980605fax 7705873528
Mailing address
880 Holcomb Bridge Rd, Suite 150-B
Roswell, GA 300761969
📞 7709980605fax 7705873528

Specialties

  • Family Medicine Primary
    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 #036662WI license #48566 taxonomy 207Q00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new family medicine provider has been added in Roswell 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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