P Praxis·MD
● Active Type 1 · Individual

DR. Gary Stillwagon, M.D

Radiology·Lawrenceville, GA· NPI 1548244817 · Enumerated 2005 · 20 years on NPI
Stillwagon is 1 of 8 radiology providers in Lawrenceville and 1 of 220 in Georgia.
NPI age
20 years
Enumerated 2005-12-01
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-07-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 220 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
1
In the 42% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
698 Duluth Hwy, Suite 100
Lawrenceville, GA 300467645
📞 7709628888fax 7709637447
Mailing address
Po Box 116470
Atlanta, GA 303686470
📞 4043201550fax 4047281081

Specialties

  • Radiology Primary
    A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
    GA license #035774 taxonomy 2085R0001X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #035774 taxonomy 174400000X

Identifiers

TypeValueNotes
05 (GA) 000582524H
05 (GA) 000582524J

Practice context

Part of a multi-provider practice. 8 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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