P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer Gillis, MD

Radiology·Atlanta, GA· NPI 1629273719 · Enumerated 2007 · 18 years on NPI
Gillis is 1 of 381 radiology providers in Atlanta and 1 of 1280 in Georgia.
NPI age
18 years
Enumerated 2007-06-19
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-06-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
18 years
≈ at 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 · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
1365 Clifton Rd Ne, Suite C1104
Atlanta, GA 303221013
📞 4047784446
Mailing address
1365 Clifton Rd Ne, Suite C1104
Atlanta, GA 303221013
📞 4047784446

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #67572 taxonomy 2085R0202X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    VA license #0116019733 taxonomy 390200000X

Identifiers

TypeValueNotes
05 (GA) 003124674
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 439 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new radiology provider has been added in Atlanta 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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