P Praxis·MD
● Active Type 1 · Individual

MR. Puli Pravin Reddy, MD

Surgery·Atlanta, GA· NPI 1487835260 · Enumerated 2007 · 18 years on NPI
Reddy is 1 of 47 surgery providers in Atlanta and 1 of 127 in Georgia.
NPI age
18 years
Enumerated 2007-11-20
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-04-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 127 active surgery providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 85% — 15% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-11Enumerated in NPPES
2007 2026

Where they practice

Practice location
1418 Dresden Drive, 120
Atlanta, GA 30319
📞 4044815089fax 4047950461
Mailing address
1418 Dresden Drive, Suite 120
Atlanta, GA 30319
📞 4044815089fax 4047950461

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    GA license #046220 taxonomy 2086S0122X
  • Plastic Surgery
    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...
    NY license #240739 taxonomy 208200000X

Identifiers

TypeValueNotes
01 (GA) TAX ID 26-3609921
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

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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