P Praxis·MD
● Active Type 1 · Individual

DR. James Wan, MD

Surgery·Lawrenceville, GA· NPI 1528017068 · Enumerated 2006 · 20 years on NPI
Wan is 1 of 6 surgery providers in Lawrenceville and 1 of 268 in Georgia.
NPI age
20 years
Enumerated 2006-05-10
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-03-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
3
In the 38% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
771 Old Norcross Rd, Suite 340
Lawrenceville, GA 300464386
📞 6783767399fax 6783767398
Mailing address
2001 Butterfield Rd, Suite 300
Downers Grove, IL 605151050
📞 6307252730fax 8442055691

Additional practice locations

1 secondary location on file with NPPES.

Location 2
305 Brookhaven Ave Ne Ste B1180
Brookhaven, GA 303197232
📞 4047059099fax 4047059094

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #058878 taxonomy 2086S0129X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    AL license #23068 taxonomy 207P00000X
  • 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 #058878 taxonomy 207R00000X
  • Phlebology
    Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous...
    GA license #058878 taxonomy 202K00000X

Identifiers

TypeValueNotes
05 (GA) 003188705B
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 58 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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