P Praxis·MD
● Active Type 1 · Individual

Sam Qingshuang Peng, M.D.

Family Medicine·Marietta, GA· NPI 1841221769 · Enumerated 2006 · 19 years on NPI
Peng is 1 of 147 family medicine providers in Marietta and 1 of 5448 in Georgia.
NPI age
19 years
Enumerated 2006-07-06
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-02-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
72 Plaza Way Nw Ste 121
Marietta, GA 300601104
📞 7707958070fax 7707958078
Mailing address
72 Plaza Way Nw
Marietta, GA 300601104
📞 7707958070fax 7707958078

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 #057232 taxonomy 207Q00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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