P Praxis·MD
● Active Type 1 · Individual

Katherine Bernadette Santosa, MD

Surgery·Atlanta, GA· NPI 1437410511 · Enumerated 2012 · 13 years on NPI
Santosa is 1 of 47 surgery providers in Atlanta and 1 of 127 in Georgia.
NPI age
13 years
Enumerated 2012-06-05
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 127 active surgery providers in Georgia.

NPI age
13 years
↓ 4 yr below median (17 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
5667 Peachtree Dunwoody Rd Ste 310
Atlanta, GA 303421725
📞 4049022485fax 4048573696
Mailing address
875 Johnson Fy Rd Ne
Atlanta, GA 303421418

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    GA license #87537 taxonomy 2086S0122X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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