P Praxis·MD
● Active Type 1 · Individual

Keyairra Edlow

Technician·Fayetteville, GA· NPI 1639940075 · Enumerated 2024 · 2 years on NPI
Edlow is 1 of 2 technician providers in Fayetteville and 1 of 105 in Georgia.
NPI age
2 years
Enumerated 2024-01-15
Primary specialty
Technician
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 105 active technician providers in Georgia.

NPI age
2 years
≈ at median (1 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
1% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-01Enumerated in NPPES
2024 2026

Where they practice

Practice location
101 Beckett Ln Ste 202
Fayetteville, GA 302147157
📞 2156948080
Mailing address
4179 Leidy Ave
Philadelphia, PA 191041014
📞 2675818300

Specialties

  • Technician Primary
    (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an...
    taxonomy 374700000X

Practice context

Solo or small practice. No 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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