P Praxis·MD
● Active Type 1 · Individual

Kenyatta Mireku, MD

Dermatology·Lawrenceville, GA· NPI 1740600048 · Enumerated 2014 · 12 years on NPI
Mireku is 1 of 11 dermatology providers in Lawrenceville and 1 of 483 in Georgia.
NPI age
12 years
Enumerated 2014-04-24
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-02
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
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
771 Old Norcross Rd Ste 260
Lawrenceville, GA 300464981
📞 7709625040fax 7709625056
Mailing address
151 Southhall Ln Ste 300
Maitland, FL 327517172

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 #080834 taxonomy 207N00000X

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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