P Praxis·MD
● Active Type 1 · Individual

Deepak Kadiyala, M.D

Internal Medicine·MacOn, GA· NPI 1417129610 · Enumerated 2008 · 18 years on NPI
Kadiyala is 1 of 18 internal medicine providers in MacOn and 1 of 221 in Georgia.
NPI age
18 years
Enumerated 2008-03-27
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, CT, IN
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-05-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 221 active internal medicine providers in Georgia.

NPI age
18 years
↑ 3 yr above median (15 yr)
State licenses
3 states
Top 61% — 38% of peers are multi-state
Subspecialties
2
In the 81% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Practice location
350 Hospital Dr
MacOn, GA 312173838
📞 4787657000
Mailing address
640 Martin Luther King JR Blvd, Suite 200
MacOn, GA 312013297
📞 4787455455fax 4788035232

Additional practice locations

1 secondary location on file with NPPES.

Location 2
640 Martin Luther King JR Blvd, Suite 200
MacOn, GA 312013297
📞 4787455455fax 4788035232

Specialties

  • Internal Medicine Primary
    An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the...
    GA license #73309 taxonomy 207RC0200X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    CT license #47678 taxonomy 207R00000X
  • Internal Medicine
    An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
    IN license #01071837 taxonomy 207RN0300X

Identifiers

TypeValueNotes
05 (IN) 201129470
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 171 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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