P Praxis·MD
● Active Type 1 · Individual

Randal Rudderman, MD

Surgery·Alpharetta, GA· NPI 1639263676 · Enumerated 2006 · 19 years on NPI
Rudderman is 1 of 7 surgery providers in Alpharetta and 1 of 127 in Georgia.
NPI age
19 years
Enumerated 2006-10-03
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-06-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 127 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
3400-C Old Milton Pkwy,, Ste 450
Alpharetta, GA 300053707
📞 6785667200fax 6785667210
Mailing address
3400-C Old Milton Pkwy,, Ste 450
Alpharetta, GA 300053707
📞 6785667200fax 6785667210

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    GA license #024863 taxonomy 2086S0122X
  • Specialist
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #024863 taxonomy 174400000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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