P Praxis·MD
● Active Type 1 · Individual

Wendy Stallworth

Prosthetist·Smyrna, GA· NPI 1710769609 · Enumerated 2023 · 2 years on NPI
Stallworth is 1 of 1 prosthetist providers in Smyrna and 1 of 90 in Georgia.
NPI age
2 years
Enumerated 2023-10-16
Primary specialty
Prosthetist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 90 active prosthetist providers in Georgia.

NPI age
2 years
↓ 3 yr below median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-10Enumerated in NPPES
2023 2026

Where they practice

Practice location
2365 Spring Rd Se Ste 215
Smyrna, GA 300802632
📞 5134008349
Mailing address
409 Walton Way Se
Smyrna, GA 300823854
📞 5134008349

Specialties

  • Prosthetist Primary
    A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs,...
    GA license #CO125001 taxonomy 224P00000X

Practice context

Part of a multi-provider practice. 2 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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