P Praxis·MD
● Active Type 1 · Individual

Norman Graham

Clinic/Center·Fayetteville, GA· NPI 1710524483 · Enumerated 2019 · 6 years on NPI
Graham is 1 of 2 clinic/center providers in Fayetteville and 1 of 205 in Georgia.
NPI age
6 years
Enumerated 2019-12-02
Primary specialty
Clinic/Center
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-09-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 205 active clinic/center providers in Georgia.

NPI age
6 years
↓ 2 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-12Enumerated in NPPES
2019 2026

Where they practice

Practice location
115 Huntington Park Dr
Fayetteville, GA 302147720
📞 9175673141
Mailing address
175 Thistlewood Ln
Fayetteville, GA 302142325
📞 9175673141

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA0600X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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