P Praxis·MD
● Active Type 1 · Individual

Vijaya Lakshmi Gudapati, M.D.

Internal Medicine·MacOn, GA· NPI 1578578340 · Enumerated 2006 · 19 years on NPI
Gudapati is 1 of 228 internal medicine providers in MacOn and 1 of 5027 in Georgia.
NPI age
19 years
Enumerated 2006-07-30
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, NJ
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-10-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5027 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
777 Hemlock St, Msc 117
MacOn, GA 312012102
📞 4786337550
Mailing address
5410 Maryland Way, Suite 300
Brentwood, TN 370275064
📞 6153775670fax 6153771678

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #051941NJ license #25MA07481900 taxonomy 207R00000X

Identifiers

TypeValueNotes
05 (GA) 815814465A
01 (GA) 52212638001 BCBS - GA
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 448 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new internal medicine provider has been added in MacOn in the last 180 days. See all →
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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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