P Praxis·MD
● Active Type 1 · Individual

MR. Forrest Clark Cantrell JR., M.D.

Pediatrics·Marietta, GA· NPI 1881641793 · Enumerated 2006 · 20 years on NPI
Cantrell is 1 of 86 pediatrics providers in Marietta and 1 of 2726 in Georgia.
NPI age
20 years
Enumerated 2006-05-27
Primary specialty
Pediatrics
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-05-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
10% 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
3515 Dallas Hwy, Ste C
Marietta, GA 30064
📞 7709439150fax 7702120276
Mailing address
5200 Dallas Hwy, Ste 200
Powder Springs, GA 301276318
📞 7709439150fax 7702120276

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #028948 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (GA) 000382489G
05 (GA) 00382489A

Practice context

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

Recently enumerated nearby: 2 new pediatrics providers have been added in Marietta in the last 180 days. See all →
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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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