P Praxis·MD
● Active Type 1 · Individual

DR. Pavan Kumar Mamilla, M.D

Family Medicine·Alpharetta, GA· NPI 1417188103 · Enumerated 2009 · 16 years on NPI
Mamilla is 1 of 91 family medicine providers in Alpharetta and 1 of 5448 in Georgia.
NPI age
16 years
Enumerated 2009-07-29
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-02
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
16 years
≈ at median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
11379 Southbridge Pkwy Ste A
Alpharetta, GA 300224402
📞 7707770750fax 7707770521
Mailing address
11379 Southbridge Pkwy Ste A
Alpharetta, GA 300224402
📞 7707770750fax 7707770521

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 #79227AL license #MD.33421 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 2 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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