P Praxis·MD
● Active Type 1 · Individual

Omer M Mirza, MD

Internal Medicine·Austell, GA· NPI 1497044259 · Enumerated 2011 · 15 years on NPI
Mirza is 1 of 1 internal medicine providers in Austell and 1 of 238 in Georgia.
NPI age
15 years
Enumerated 2011-04-01
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, MO
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 238 active internal medicine providers in Georgia.

NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
2 states
Top 70% — 29% of peers are multi-state
Subspecialties
1
In the 72% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Practice location
1700 Hospital South Dr Ste 409
Austell, GA 301068159
📞 7707329100
Mailing address
1700 Hospital South Dr Ste 409
Austell, GA 301068159
📞 7707329100

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1740 W Taylor St
Chicago, IL 606127232
📞 8666002273

Specialties

  • Internal Medicine Primary
    An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
    GA license #83711 taxonomy 207RI0011X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 3 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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