P Praxis·MD
● Active Type 1 · Individual

Constance Ediale, MD

Dermatology·Atlanta, GA· NPI 1720666886 · Enumerated 2021 · 5 years on NPI
Ediale is 1 of 106 dermatology providers in Atlanta and 1 of 483 in Georgia.
NPI age
5 years
Enumerated 2021-03-31
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
5 years
↓ 13 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-03Enumerated in NPPES
2021 2026

Where they practice

Practice location
5505 Peachtree Dunwoody Rd Ste 412
Atlanta, GA 303421758
📞 4044599177fax 4043890400
Mailing address
801 York St
Manitowoc, WI 542204630
📞 9206639008fax 9206841439

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    GA license #105072 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 7 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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