P Praxis·MD
● Active Type 1 · Individual

DR. Michael L Klyachkin, M.D.

Surgery·MacOn, GA· NPI 1811976053 · Enumerated 2006 · 20 years on NPI
Klyachkin is 1 of 9 surgery providers in MacOn and 1 of 268 in Georgia.
NPI age
20 years
Enumerated 2006-01-16
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
688 Walnut St, Ste 200
MacOn, GA 312012677
📞 4787427566fax 4787432804
Mailing address
688 Walnut St, Ste 200
MacOn, GA 312012677
📞 4787427566fax 4787432804

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #54760 taxonomy 2086S0129X

Identifiers

TypeValueNotes
01 511I770014 MEDICARE
05 (GA) 519931565A

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 268 Surgery providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

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.

Related