P Praxis·MD
● Active Type 1 · Individual

Mark Russell Ling, M.D., PH.D.

Dermatology·Newnan, GA· NPI 1639153638 · Enumerated 2005 · 20 years on NPI
Ling is 1 of 2 dermatology providers in Newnan and 1 of 29 in Georgia.
NPI age
20 years
Enumerated 2005-12-02
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 29 active dermatology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-12Enumerated in NPPES
2005 2026

Where they practice

Practice location
710 Newnan Crossing Bypass, Suite A
Newnan, GA 302632321
📞 7702515111fax 7702548680
Mailing address
7300 Ranch Road 2222, Building 1, Ste 200
Austin, TX 78730
📞 5126280465fax 5122332711

Specialties

  • Dermatology Primary
    Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
    GA license #034647 taxonomy 207NS0135X
  • Dermatology
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #034647 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 (GA) 4279563008 CIGNA HMO
01 (GA) 0390142 UHC
01 (GA) 070012632 RAIL ROAD MEDICARE
01 (GA) 2117569 AETNA HMO
05 (GA) 00469246C
01 (GA) 4318069 AETNA NON-HMO

Practice context

Part of a multi-provider practice. 5 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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