P Praxis·MD
● Active Type 1 · Individual

DR. Jenny Anne Walldorf, M.D.

Pediatrics·Atlanta, GA· NPI 1720348485 · Enumerated 2012 · 13 years on NPI
Walldorf is 1 of 32 pediatrics providers in Atlanta and 1 of 42 in Georgia.
NPI age
13 years
Enumerated 2012-05-29
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 42 active pediatrics providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
550 Peachtree St Ne
Atlanta, GA 30308
📞 4046865885
Mailing address
550 Peachtree St Ne
Atlanta, GA 303082245
📞 4046865885

Additional practice locations

1 secondary location on file with NPPES.

Location 2
685 W Baltimore St Rm 480, Center For Vaccine Development
Baltimore, MD 212011509
📞 4107068695

Specialties

  • Pediatrics Primary
    A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses,...
    GA license #77134 taxonomy 2080P0208X

Practice context

Part of a multi-provider practice. 816 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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