P Praxis·MD
● Active Type 1 · Individual

DR. Brian Trissell, MD

Radiology·Waycross, GA· NPI 1669836292 · Enumerated 2016 · 10 years on NPI
Trissell is 1 of 7 radiology providers in Waycross and 1 of 1280 in Georgia.
NPI age
10 years
Enumerated 2016-04-10
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
GA, MO, KS, FL
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-20
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
10 years
↓ 9 yr below median (19 yr)
State licenses
4 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
1900 Tebeau St
Waycross, GA 315016357
📞 9122833030
Mailing address
83245 Purple Martin Dr
Yulee, FL 320972628
📞 5712965110

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
1004 Progress Dr Ste 180&145
Lansing, KS 660436326
📞 9132973215fax 9132972732
Location 3
300 Utah St
Hiawatha, KS 664342326
📞 7857422131fax 7857426558
Location 4
800 Ravenhill Dr
Atchison, KS 660029204
📞 9133672131fax 9136742023

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #88597MO license #2018009816KS license #04-48039FL license #ME149470 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (KS) 004030032 PTAN
05 (NE) 10030307600
05 (KS) 30004976670001
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 48 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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