P Praxis·MD
● Active Type 1 · Individual

DR. Michael Phillip Fundora, M.D.

Pediatrics·Atlanta, GA· NPI 1770846149 · Enumerated 2012 · 13 years on NPI
Fundora is 1 of 53 pediatrics providers in Atlanta and 1 of 115 in Georgia.
NPI age
13 years
Enumerated 2012-06-20
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, MA, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 115 active pediatrics providers in Georgia.

NPI age
13 years
↓ 6 yr below median (19 yr)
State licenses
3 states
Top 77% — 22% of peers are multi-state
Subspecialties
2
In the 39% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
2220 N Druid Hills Rd Ne
Atlanta, GA 303293117
📞 4042562593fax 7704889408
Mailing address
2970 Brandywine Rd Ste 125
Atlanta, GA 303415521
📞 4042562593fax 7704889408

Specialties

  • Pediatrics Primary
    A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels,...
    GA license #82395 taxonomy 2080P0202X
  • Pediatrics
    A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
    MA license #269973 taxonomy 2080P0203X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    FL license #TRN16214 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 185 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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