P Praxis·MD
● Active Type 1 · Individual

DR. Karem Vivian Menezes, M.D.

Pediatrics·Cumming, GA· NPI 1548535800 · Enumerated 2012 · 14 years on NPI
Menezes is 1 of 33 pediatrics providers in Cumming and 1 of 2726 in Georgia.
NPI age
14 years
Enumerated 2012-03-19
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, KY, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-08-26
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
14 years
↓ 4 yr below median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-03Enumerated in NPPES
2012 2026

Where they practice

Practice location
204 Canton Rd
Cumming, GA 300402304
📞 7708865437fax 7708869717
Mailing address
Po Box 2155
Ashland, KY 411052155
📞 6064740669

Additional practice locations

1 secondary location on file with NPPES.

Location 2
100 Bellefonte Dr
Grayson, KY 411431820
📞 6064740669

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 #81618KY license #45369 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.
    FL license #TRN 13410 taxonomy 390200000X

Identifiers

TypeValueNotes
05 (KY) 7100211610
01 (GA) 81618 STATE LICENSE
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 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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