P Praxis·MD
● Active Type 1 · Individual

MR. Tadeusz K Wodecki, MD

Internal Medicine·Stone Mountain, GA· NPI 1619994472 · Enumerated 2006 · 19 years on NPI
Wodecki is 1 of 13 internal medicine providers in Stone Mountain and 1 of 5027 in Georgia.
NPI age
19 years
Enumerated 2006-07-17
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-01-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

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
1
In the 32% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2256 Rockbridge Rd
Stone Mountain, GA 30087
📞 7704131300fax 7704130547
Mailing address
2256 Rockbridge Rd
Stone Mountain, GA 30087
📞 7704131300fax 7704130547

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 #029264 taxonomy 207R00000X
  • Internal Medicine
    An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
    NC license #200301312 taxonomy 207RA0000X

Identifiers

TypeValueNotes
01 (GA) 1619994472 NPI
05 (GA) 00543397A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new internal medicine provider has been added in Stone Mountain 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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