P Praxis·MD
● Active Type 1 · Individual

Timothy Zachary Brock, M.D.

Surgery·Hiram, GA· NPI 1679772297 · Enumerated 2007 · 18 years on NPI
Brock is 1 of 3 surgery providers in Hiram and 1 of 1389 in Georgia.
NPI age
18 years
Enumerated 2007-07-13
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-12-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
148 Bill Carruth Pkwy, Suite 180
Hiram, GA 301413754
📞 7704454915fax 7704456876
Mailing address
148 Bill Carruth Pkwy, Suite 180
Hiram, GA 301413754
📞 7704454915fax 7704456876

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #69551SC license #LL30096 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 10 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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