P Praxis·MD
● Active Type 1 · Individual

Gary George Theofilis, DO, MBA, DABAM

Pain Medicine·Cumming, GA· NPI 1558672014 · Enumerated 2010 · 15 years on NPI
Theofilis is 1 of 11 pain medicine providers in Cumming and 1 of 315 in Georgia.
NPI age
15 years
Enumerated 2010-06-29
Primary specialty
Pain Medicine
Plus 3 subspecialties
Licensed in
GA, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 315 active pain medicine providers in Georgia.

NPI age
15 years
≈ at median (14 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 48% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-06Enumerated in NPPES
2010 2026

Where they practice

Practice location
6125 Broadwater Trl
Cumming, GA 300409521
📞 4124774493
Mailing address
6125 Broadwater Trl
Cumming, GA 300409521
📞 4124774493

Specialties

  • Pain Medicine Primary
    Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
    GA license #74400PA license #OS01718 taxonomy 208VP0014X
  • Anesthesiology
    An anesthesiologist who specializes in the diagnosis and treatment of addictions.
    PA license #OS01718GA license #74400 taxonomy 207LA0401X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Provyx · Custom healthcare lists

Need all 315 Pain Medicine providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related