P Praxis·MD
● Active Type 1 · Individual

Michael Im, M.D.

Radiology·Albany, GA· NPI 1710154794 · Enumerated 2008 · 18 years on NPI
Im is 1 of 13 radiology providers in Albany and 1 of 1280 in Georgia.
NPI age
18 years
Enumerated 2008-05-09
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
18 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 · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
2624 Dawson Rd
Albany, GA 317071609
📞 2298881624
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 282022742

Additional practice locations

1 secondary location on file with NPPES.

Location 2
850 E Latham Ave, 101
Hemet, CA 925434391
📞 9519299688fax 9517661269

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #109415CA license #A119769 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (CA) A119769 STATE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 7 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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