P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth S Jago, MD

Family Medicine·Canton, GA· NPI 1538133905 · Enumerated 2006 · 20 years on NPI
Jago is 1 of 43 family medicine providers in Canton and 1 of 5448 in Georgia.
NPI age
20 years
Enumerated 2006-02-14
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
125 Oakside Ct Ste 101
Canton, GA 30114
📞 7704793424fax 7707203454
Mailing address
125 Oakside Ct Ste 101
Canton, GA 30114
📞 7704793424fax 7707203454

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #029476GA license #29476 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 00380575C

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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