P Praxis·MD
● Active Type 1 · Individual

Ijeoma Cecilia Anyanwu, M.D.

Pediatrics·Holly Springs, GA· NPI 1740418557 · Enumerated 2009 · 16 years on NPI
Anyanwu is 1 of 4 pediatrics providers in Holly Springs and 1 of 2726 in Georgia.
NPI age
16 years
Enumerated 2009-06-30
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, PA, NY
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-06-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
3 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
684 Sixes Rd Ste 275
Holly Springs, GA 301158723
📞 7708522440fax 7708522446
Mailing address
684 Sixes Rd Ste 275
Holly Springs, GA 301158723
📞 7708522440fax 7708522446

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3780 Holcomb Bridge Rd Ste C
Peachtree Corners, GA 300924877
📞 7702639101
Location 3
2698 Frederick Douglass Blvd
New York, NY 100301219
📞 2129398950

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #81221PA license #MD446439NY license #274604 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 003212061B
05 (GA) 003212061C
05 (NY) 04078011
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

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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