P Praxis·MD
● Active Type 1 · Individual

DR. Kayhan Bolelli, PHD

Specialist·Stone Mountain, GA· NPI 1518552553 · Enumerated 2021 · 5 years on NPI
Bolelli is 1 of 1 specialist providers in Stone Mountain and 1 of 14 in Georgia.
NPI age
5 years
Enumerated 2021-03-02
Primary specialty
Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 14 active specialist providers in Georgia.

NPI age
5 years
↓ 1 yr below median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
3907 W Wood Path
Stone Mountain, GA 300837000
📞 4048278998
Mailing address
3907 W Wood Path
Stone Mountain, GA 300837000
📞 4048278998

Specialties

  • Specialist Primary
    Definition to come...
    taxonomy 1744R1102X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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