NPI age
20 years
Enumerated 2005-09-14
● Active
Type 1 · Individual
Alexander T Gedevanishvili, M.D.
Gedevanishvili is 1 of 5 internal medicine providers in Lagrange and 1 of 952 in Georgia.
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-11-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 952 active internal medicine providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
40% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Practice location
1602 Vernon Rd Ste 300
Lagrange, GA 30240
Mailing address
805 Sandy Plains Road, Medical Staff Services
Marietta, GA 300666340
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1551 Doctors Dr, Building 200
Lagrange, GA 302404139
Location 3
1551 Doctors Dr, Building 200
Lagrange, GA 302404139
Specialties
-
Internal Medicine PrimaryAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 192405896A |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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