P Praxis·MD
● Active Type 1 · Individual

Prabhakar Mithal

Urology·Fayetteville, GA· NPI 1497172951 · Enumerated 2014 · 12 years on NPI
Mithal is 1 of 11 urology providers in Fayetteville and 1 of 563 in Georgia.
NPI age
12 years
Enumerated 2014-03-23
Primary specialty
Urology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 563 active urology providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 22% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-03Enumerated in NPPES
2014 2026

Where they practice

Practice location
1336 Highway 54 W Bldg 200
Fayetteville, GA 302144574
📞 7704609777
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
📞 6782844040

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
601 Elmwood Ave Box Surg
Rochester, NY 146420001
📞 5852752723
Location 3
140 Charlois Blvd
Winston Salem, NC 271031522
📞 3367164131fax 3367130328

Specialties

  • Urology Primary
    A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
    GA license #89259 taxonomy 208800000X
  • 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. 6 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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