P Praxis·MD
● Active Type 1 · Individual

MS. Kimberly Diann Eddins

Specialist·Stone Mountain, GA· NPI 1679958177 · Enumerated 2015 · 10 years on NPI
Eddins is 1 of 8 specialist providers in Stone Mountain and 1 of 250 in Georgia.
NPI age
10 years
Enumerated 2015-07-25
Primary specialty
Specialist
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-10-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 250 active specialist providers in Georgia.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 10% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-07Enumerated in NPPES
2015 2026

Where they practice

Practice location
4065 Flintridge Dr, Suite A
Stone Mountain, GA 300833122
📞 4042745433
Mailing address
4065 Flintridge Dr
Stone Mountain, GA 300833122
📞 4042745433

Specialties

  • Specialist Primary
    A case manager who provides services for patients with prosthetics.
    GA license #MT010080GA license #CO077801 taxonomy 1744P3200X
  • Massage Therapist
    An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
    GA license #MT010080 taxonomy 225700000X

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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