P Praxis·MD
● Active Type 1 · Individual

DR. Keren Aviva Bashan-Gilzenrat, M.D.

Surgery·Marietta, GA· NPI 1700047784 · Enumerated 2008 · 17 years on NPI
Bashan-Gilzenrat is 1 of 7 surgery providers in Marietta and 1 of 39 in Georgia.
NPI age
17 years
Enumerated 2008-06-22
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-10-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 39 active surgery providers in Georgia.

NPI age
17 years
↑ 2 yr above median (15 yr)
State licenses
2 states
Top 61% — 38% of peers are multi-state
Subspecialties
1
In the 66% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
55 Whitcher St Ne Ste 130
Marietta, GA 30060
📞 7704261629fax 7704278001
Mailing address
805 Sandy Plains Road, Medical Staff Services
Marietta, GA 300666340

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
80 Jesse Hill JR Dr Se, Grady Hospital
Atlanta, GA 303033031
📞 4046161415
Location 3
80 Jesse Hill JR Dr Se, Grady Hospital
Atlanta, GA 303033031
📞 4046161415

Specialties

  • Surgery Primary
    Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical...
    GA license #070045 taxonomy 2086S0127X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    NC license #2014-01249 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 24 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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