P Praxis·MD
● Active Type 1 · Individual

DR. Max Praya Mam, M.D.

Radiology·Marietta, GA· NPI 1679921662 · Enumerated 2016 · 9 years on NPI
Mam is 1 of 103 radiology providers in Marietta and 1 of 1280 in Georgia.
NPI age
9 years
Enumerated 2016-05-31
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-06
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
9 years
↓ 10 yr below median (19 yr)
State licenses
1 state
21% of peers hold multiple states
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
790 Church St Ne Ste 400
Marietta, GA 300608957
📞 7704052976
Mailing address
Po Box 3157
Indianapolis, IN 462063157
📞 7704052976

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1120 15th St
Augusta, GA 309120004
📞 7067212273

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #008270 taxonomy 2085R0202X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #008270 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 68 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new radiology providers have been added in Marietta in the last 180 days. See all →
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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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