P Praxis·MD
● Active Type 1 · Individual

DR. William Angelo Primos JR., MD

Pediatrics·Dawsonville, GA· NPI 1528040458 · Enumerated 2005 · 20 years on NPI
Primos is 1 of 1 pediatrics providers in Dawsonville and 1 of 18 in Georgia.
NPI age
20 years
Enumerated 2005-11-16
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 18 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 72% — 27% of peers are multi-state
Subspecialties
0
55% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
108 Prominence Ct Ste 200
Dawsonville, GA 305346340
📞 7708486190
Mailing address
Po Box 742616
Atlanta, GA 303742616
📞 7702198420

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5445 Meridian Marks Rd Ne Ste 250
Atlanta, GA 303424767
📞 4042551933fax 4042567924

Specialties

  • Pediatrics Primary
    A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have...
    GA license #42395NC license #39336 taxonomy 2080S0010X

Identifiers

TypeValueNotes
05 (SC) N39665
05 (GA) 813658737A
05 (NC) 8969208
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 9 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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