P Praxis·MD
● Active Type 1 · Individual

DR. Aymen Yousuf Bukannan, MD

Internal Medicine·Thomasville, GA· NPI 1700179983 · Enumerated 2011 · 15 years on NPI
Bukannan is 1 of 5 internal medicine providers in Thomasville and 1 of 643 in Georgia.
NPI age
15 years
Enumerated 2011-05-23
Primary specialty
Internal Medicine
Plus 2 subspecialties
Licensed in
GA, MI, IL
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 643 active internal medicine providers in Georgia.

NPI age
15 years
↓ 4 yr below median (19 yr)
State licenses
3 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Practice location
112 Mimosa Dr
Thomasville, GA 317926605
📞 2292270045
Mailing address
900 Cairo Rd
Thomasville, GA 317924255

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2799 W. Grand Blvd, K7 Room E-744, Henry Ford Hospital Gi Department
Detroit, MI 48202
📞 3139162405fax 3139166413
Location 3
4500 Memorial Dr Ste 300
Belleville, IL 622265360
📞 6182576220fax 6182576679

Specialties

  • Internal Medicine Primary
    An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and...
    GA license #077096IL license #036177436 taxonomy 207RG0100X
  • 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,...
    MI license #4301098214 taxonomy 207R00000X

Practice context

Part of a multi-provider practice. 10 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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