P Praxis·MD
● Active Type 1 · Individual

DR. Nisha Polavarapu, M.D.

Pediatrics·Atlanta, GA· NPI 1588084404 · Enumerated 2014 · 12 years on NPI
Polavarapu is 1 of 73 pediatrics providers in Atlanta and 1 of 89 in Georgia.
NPI age
12 years
Enumerated 2014-04-17
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, NJ
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 89 active pediatrics providers in Georgia.

NPI age
12 years
↓ 7 yr below median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
1001 Johnson Ferry Rd
Atlanta, GA 303421605
📞 4047852273fax 4047855846
Mailing address
30 Prospect Ave
Hackensack, NJ 076011915

Additional practice locations

1 secondary location on file with NPPES.

Location 2
30 Prospect Ave
Hackensack, NJ 076011915
📞 5519964421

Specialties

  • Pediatrics Primary
    A pediatrician who has special qualifications to manage emergencies in infants and children.
    GA license #101283NJ license #25MA10830300 taxonomy 2080P0204X
  • Pediatrics
    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 #101283 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 77 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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