P Praxis·MD
● Active Type 1 · Individual

John Nino, MD

Otolaryngology·Douglasville, GA· NPI 1689670804 · Enumerated 2005 · 20 years on NPI
Nino is 1 of 6 otolaryngology providers in Douglasville and 1 of 450 in Georgia.
NPI age
20 years
Enumerated 2005-06-22
Primary specialty
Otolaryngology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 450 active otolaryngology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
6002 Professional Pkwy, Suite 100
Douglasville, GA 301345600
📞 7709494200fax 7709495553
Mailing address
6002 Professional Pkwy, Suite 100
Douglasville, GA 301345600
📞 7709494200fax 7709495553

Specialties

  • Otolaryngology Primary
    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
    GA license #045901 taxonomy 207Y00000X

Identifiers

TypeValueNotes
05 (GA) 000799202A

Practice context

Part of a multi-provider practice. 8 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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