P Praxis·MD
● Active Type 1 · Individual

Timothy Tynan

Internal Medicine·Atlanta, GA· NPI 1457909012 · Enumerated 2019 · 6 years on NPI
Tynan is 1 of 196 internal medicine providers in Atlanta and 1 of 952 in Georgia.
NPI age
6 years
Enumerated 2019-08-27
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-06-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 952 active internal medicine providers in Georgia.

NPI age
6 years
↓ 13 yr below median (19 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
1462 Clifton Rd Ne
Atlanta, GA 303221000
📞 4047272582
Mailing address
609 Virginia Ave Ne
Atlanta, GA 303065106

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    GA license #10854 taxonomy 207RC0000X

Practice context

Part of a multi-provider practice. 12 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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