P Praxis·MD
● Active Type 2 · Organization

Mountain Park Primary Care Center

General Practice·Stone Mountain, GA· NPI 1497955678 · Enumerated 2007 · 18 years on NPI
Mountain Park Primary Care Center is 1 of 661 general practice organizations in Georgia.
NPI age
18 years
Enumerated 2007-07-24
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Noyd
Owner/physician
Last NPPES update
2007-07-24
Source: monthly bulk 2026-05

How this organization compares

Across 661 active general practice providers in Georgia.

NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
1755 E Park Place Blvd
Stone Mountain, GA 300873459
📞 7704692040fax 7704697010
Mailing address
1755 E Park Place Blvd
Stone Mountain, GA 300873459
📞 7704692040fax 7704697010

Authorized official

William Walter Noyd, M.D.
Owner/physician
📞 7704692040

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • General Practice Primary
    A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
    GA license #021187 taxonomy 208D00000X

Identifiers

TypeValueNotes
01 (GA) 10036820 AMERIGROUP
05 (GA) 00203761K

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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