P Praxis·MD
● Active Type 1 · Individual

Jyothirmayi Mamidi

Dentist·Sandy Springs, GA· NPI 1417804907 · Enumerated 2026 · 0 years on NPI
Mamidi is 1 of 21 dentist providers in Sandy Springs and 1 of 2660 in Georgia.
NPI age
— years
Enumerated 2026-03-13
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
0 years
↓ 14 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-03Enumerated in NPPES
2026 2026

Where they practice

Practice location
4600 Roswell Rd Unit C120
Sandy Springs, GA 303423189
📞 4043419593
Mailing address
3812 Mine Creek Ln
Marietta, GA 300625884
📞 2165346237

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN124083 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Sandy Springs 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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