P Praxis·MD
● Active Type 1 · Individual

Richard Glen Stiles, M.D.

Radiology·Conyers, GA· NPI 1700864972 · Enumerated 2006 · 20 years on NPI
Stiles is 1 of 7 radiology providers in Conyers and 1 of 1280 in Georgia.
NPI age
20 years
Enumerated 2006-01-06
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-01-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
1412 Milstead Ave Ne
Conyers, GA 300123877
📞 7709183000fax 6789057053
Mailing address
Po Box 200096
Cartersville, GA 301209002
📞 6789057053fax 6789057053

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #25675TN license #019834 taxonomy 2085R0202X

Identifiers

TypeValueNotes
05 (GA) 000282444E
05 (GA) 000282444I
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 98 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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