P Praxis·MD
● Active Type 1 · Individual

Kathryn Parker

Surgery·Canton, GA· NPI 1417213893 · Enumerated 2012 · 14 years on NPI
Parker is 1 of 7 surgery providers in Canton and 1 of 1389 in Georgia.
NPI age
14 years
Enumerated 2012-04-10
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-28
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
14 years
↓ 3 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
470 Northside Cherokee Blvd Ste 230
Canton, GA 301158015
📞 7707219460fax 7707219461
Mailing address
22 S Greene St # S4c12
Baltimore, MD 212011544

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 #83384 taxonomy 208600000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 3 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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