P Praxis·MD
● Active Type 1 · Individual

Duane Ennis, R, CT

Radiologic Technologist·MacOn, GA· NPI 1891706214 · Enumerated 2006 · 19 years on NPI
Ennis is 1 of 2 radiologic technologist providers in MacOn and 1 of 36 in Georgia.
NPI age
19 years
Enumerated 2006-08-10
Primary specialty
Radiologic Technologist
Plus 2 subspecialties
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 36 active radiologic technologist providers in Georgia.

NPI age
19 years
↑ 16 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
2
In the 19% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1504 Hardeman Ave, Suite B
MacOn, GA 312011416
📞 4787453135fax 4787453136
Mailing address
301 Canterfield Dr
Bonaire, GA 310053363
📞 4789180419

Specialties

  • Radiologic Technologist Primary
    A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of...
    taxonomy 2471C3402X
  • Radiologic Technologist
    A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
    taxonomy 247100000X
  • Radiologic Technologist
    A radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam...
    taxonomy 2471C3401X

Practice context

Part of a multi-provider practice. 9 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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