P Praxis·MD
● Active Type 1 · Individual

Vito John Bagnato, M.D.

Surgery·MacOn, GA· NPI 1508853219 · Enumerated 2005 · 20 years on NPI
Bagnato is 1 of 66 surgery providers in MacOn and 1 of 1389 in Georgia.
NPI age
20 years
Enumerated 2005-09-29
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
3
In the 28% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
420 Charter Blvd, Suite 103
MacOn, GA 312104854
📞 4784718484fax 4784718487
Mailing address
420 Charter Blvd, Suite 103
MacOn, GA 312104854
📞 4784718484fax 4784718487

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #45711 taxonomy 208600000X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #45711 taxonomy 207R00000X
  • Internal Medicine
    A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to...
    GA license #45711 taxonomy 207RB0002X
  • Internal Medicine
    An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
    GA license #45711 taxonomy 207RG0100X

Identifiers

TypeValueNotes
05 (GA) 00798663A

Practice context

Part of a multi-provider practice. 14 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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