P Praxis·MD
● Active Type 1 · Individual

DR. Vijay Tirumalasetty, MD

Family Medicine·Canton, GA· NPI 1760618003 · Enumerated 2009 · 16 years on NPI
Tirumalasetty is 1 of 43 family medicine providers in Canton and 1 of 5448 in Georgia.
NPI age
16 years
Enumerated 2009-06-01
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
GA, MI, AL
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-02-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
16 years
≈ at median (17 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
6613 Hickory Flat Hwy
Canton, GA 301157237
📞 7702684357fax 4702516064
Mailing address
3333 Riverwood Pkwy Se Ste 250
Atlanta, GA 303393304
📞 7709140016fax 7709554278

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #72940MI license #4301094275AL license #MD.31878 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (AL) 141108
01 (AL) 511-27915 BCBS
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 4 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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