P Praxis·MD
● Active Type 1 · Individual

Mark J. Mittenthal, MD

Surgery·Atlanta, GA· NPI 1598739559 · Enumerated 2006 · 20 years on NPI
Mittenthal is 1 of 61 surgery providers in Atlanta and 1 of 268 in Georgia.
NPI age
20 years
Enumerated 2006-02-15
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-08-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
5669 Peachtree Dunwoody Rd, Suite 100
Atlanta, GA 303421786
📞 4042560404fax 4048470423
Mailing address
1838 American Way
Lawrenceville, GA 300436611
📞 7709957622fax 7709957854

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #017864 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (GA) 000206005

Practice context

Part of a multi-provider practice. 4 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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