P Praxis·MD
● Active Type 1 · Individual

DR. Juntira Laothavorn, M.D.

Psychiatry & Neurology·Atlanta, GA· NPI 1700140712 · Enumerated 2012 · 13 years on NPI
Laothavorn is 1 of 448 psychiatry & neurology providers in Atlanta and 1 of 1678 in Georgia.
NPI age
13 years
Enumerated 2012-06-25
Primary specialty
Psychiatry & Neurology
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-12-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1678 active psychiatry & neurology providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
1745 Phoenix Blvd Ste 240
Atlanta, GA 303495534
📞 4045077100
Mailing address
88 N Avondale Rd # 181
Avondale Estates, GA 300021323
📞 4045794544

Additional practice locations

1 secondary location on file with NPPES.

Location 2
221 Ne Glen Oak Ave, 7west, Department Of Psychiatry And Behavioral Medicine
Peoria, IL 616360001
📞 3094951640

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    GA license #076279IL license #125061354 taxonomy 2084P0800X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 6 new psychiatry & neurology providers have been added in Atlanta 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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