P Praxis·MD
● Active Type 1 · Individual

Amit V. Tibrewala, MD

Internal Medicine·Cumming, GA· NPI 1720275233 · Enumerated 2007 · 18 years on NPI
Tibrewala is 1 of 38 internal medicine providers in Cumming and 1 of 952 in Georgia.
NPI age
18 years
Enumerated 2007-09-28
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-12-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 952 active internal medicine providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
40% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-09Enumerated in NPPES
2007 2026

Where they practice

Practice location
1505 Northside Forsyth Dr, Ste 3600
Cumming, GA 30041
📞 7703438565fax 7707813559
Mailing address
873 Brightwater Cir
Maitland, FL 327514233
📞 4072841914

Specialties

  • Internal Medicine Primary
    An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
    GA license #068325FL license #ME 108835 taxonomy 207RC0000X

Identifiers

TypeValueNotes
05 (GA) 003125698L
05 (GA) 003125698M
05 (GA) 003125698D
05 (GA) 003125698N
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 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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