P Praxis·MD
● Active Type 1 · Individual

DR. Kyle Matthew Thomas, DO

Surgery·Marietta, GA· NPI 1447698220 · Enumerated 2013 · 12 years on NPI
Thomas is 1 of 7 surgery providers in Marietta and 1 of 39 in Georgia.
NPI age
12 years
Enumerated 2013-06-13
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
GA, MI, OH
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 39 active surgery providers in Georgia.

NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
3 states
Top 61% — 38% of peers are multi-state
Subspecialties
1
In the 66% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
55 Whitcher St Ne Ste 130
Marietta, GA 300601156
📞 7704280462fax 7704278001
Mailing address
55 Whitcher St Ne Ste 130
Marietta, GA 300601156
📞 7704280462fax 7704278001

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1581 Dodd Dr
Columbus, OH 432101257
📞 6142932101fax 6142939155

Specialties

  • Surgery Primary
    Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
    GA license #86368 taxonomy 2086S0127X
  • Surgery
    A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ...
    MI license #5101020643OH license #34.014005GA license #86368 taxonomy 2086S0102X

Identifiers

TypeValueNotes
05 (OH) 0366962
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 24 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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