P Praxis·MD
● Active Type 1 · Individual

Mijin Ra, MD

Family Medicine·MacOn, GA· NPI 1710747969 · Enumerated 2024 · 2 years on NPI
Ra is 1 of 184 family medicine providers in MacOn and 1 of 5448 in Georgia.
NPI age
2 years
Enumerated 2024-03-21
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-06-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
2 years
↓ 15 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2024 → 2026

2024-03Enumerated in NPPES
2024 2026

Where they practice

Practice location
777 Hemlock St, Msc #165
MacOn, GA 312012102
📞 4786331634fax 4786331578
Mailing address
777 Hemlock St, Msc #165
MacOn, GA 312012102
📞 4786331634fax 4786331578

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #16347 taxonomy 207Q00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 448 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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