P Praxis·MD
● Active Type 1 · Individual

Dominique Michelle Grasty Hines, MD

Pediatrics·Smyrna, GA· NPI 1518596246 · Enumerated 2020 · 6 years on NPI
Hines is 1 of 26 pediatrics providers in Smyrna and 1 of 2726 in Georgia.
NPI age
6 years
Enumerated 2020-04-04
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
6 years
↓ 12 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Practice location
4581 S Cobb Dr Se Ste 100
Smyrna, GA 300806906
📞 7708015000fax 7704356690
Mailing address
4581 S Cobb Dr Se Ste 100
Smyrna, GA 300806906
📞 7708015000fax 7704356690

Additional practice locations

1 secondary location on file with NPPES.

Location 2
720 Westview Dr Sw
Atlanta, GA 303101458
📞 4047561393fax 4047561357

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #95066 taxonomy 208000000X
  • 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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