P Praxis·MD
● Active Type 1 · Individual

Richard John Locicero, M.D.

Internal Medicine·Gainesville, GA· NPI 1578543948 · Enumerated 2006 · 20 years on NPI
Locicero is 1 of 10 internal medicine providers in Gainesville and 1 of 96 in Georgia.
NPI age
20 years
Enumerated 2006-01-20
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 96 active internal medicine providers in Georgia.

NPI age
20 years
↑ 1 yr above median (18 yr)
State licenses
1 state
30% of peers hold multiple states
Subspecialties
1
In the 54% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
📞 7702975700fax 7707181877
Mailing address
4605 Broken Arrow Path
Gainesville, GA 305067514
📞 6786568261

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1515 River Pl Ste 150
Braselton, GA 305175603
📞 7702975700fax 7707181177

Specialties

  • Internal Medicine Primary
    An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and...
    GA license #048535 taxonomy 207RX0202X
  • Internal Medicine
    An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
    GA license #048535 taxonomy 207RH0000X

Identifiers

TypeValueNotes
05 (GA) 000864498A
01 (GA) 10045340 AMERIGROUP
01 (GA) 2993017 CIGNA
01 (GA) 340868 WELLCARE
01 (GA) 3600108 UNITED HEALTHCARE
01 (GA) 7286112 AETNA
01 (GA) 52702518 BCBS
01 (GA) 830007840 RR MEDICARE-GRP # CC4177

Practice context

Part of a multi-provider practice. 151 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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