P Praxis·MD
● Active Type 1 · Individual

DR. Puya Davoodi, MD

Plastic Surgery·Gainesville, GA· NPI 1457432601 · Enumerated 2006 · 19 years on NPI
Davoodi is 1 of 8 plastic surgery providers in Gainesville and 1 of 284 in Georgia.
NPI age
19 years
Enumerated 2006-10-17
Primary specialty
Plastic Surgery
Plus 5 subspecialties
Licensed in
GA, SC, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 284 active plastic surgery providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
3
In the 21% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1296 Sims St Ste B
Gainesville, GA 305013835
📞 7705341856fax 7705310355
Mailing address
1296 Sims St Ste B
Gainesville, GA 305013873
📞 7705341856

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    GA license #062833 taxonomy 208200000X
  • General Practice
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #062833 taxonomy 208D00000X
  • Surgery
    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...
    SC license #LL25628 taxonomy 208600000X
  • Surgery
    A surgeon who specializes in plastic and reconstructive surgery.
    FL license #TRN13669FL license #ME111956GA license #062833 taxonomy 2086S0122X

Identifiers

TypeValueNotes
05 (FL) 006099600
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 7 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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