P Praxis·MD
● Active Type 1 · Individual

Allen Terence Raphael, D.P.M.

Podiatrist·Smyrna, GA· NPI 1770539801 · Enumerated 2006 · 20 years on NPI
Raphael is 1 of 12 podiatrist providers in Smyrna and 1 of 437 in Georgia.
NPI age
20 years
Enumerated 2006-05-26
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 437 active podiatrist providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
3200 Highlands Parkway, Suite 100
Smyrna, GA 300825196
📞 7703195502fax 7704349010
Mailing address
900 Circle 75 Pkwy. Se, Suite 200
Atlanta, GA 300803084
📞 6784262171fax 4044461957

Specialties

  • Podiatrist Primary
    A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
    GA license #POD001050 taxonomy 213E00000X

Identifiers

TypeValueNotes
01 (GA) 52212173-001 BC/BS, SMYRNA
05 (GA) 761921467P
05 (GA) 761921467G
01 (GA) 52212173-002 BC/BS DOUGLASVILLE
05 (GA) 761921467A
01 (GA) 946888 BLUE CROSS BLUE SHIELD GA
01 (GA) 5284933 CIGNA
05 (GA) 761921467J
01 (GA) 581994261 GREAT WEST HEALTHCARE
05 (GA) 761921467C

Practice context

Part of a multi-provider practice. 3 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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