P Praxis·MD
● Active Type 1 · Individual

Jithender R Kandimalla, MD

Surgery·Griffin, GA· NPI 1891748539 · Enumerated 2006 · 20 years on NPI
Kandimalla is 1 of 9 surgery providers in Griffin and 1 of 1389 in Georgia.
NPI age
20 years
Enumerated 2006-05-17
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, MN, ND
3 states
Status
Active
No deactivations on record
Last NPPES update
2019-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
619 S 8th St Ste 301
Griffin, GA 302244260
📞 7702296072fax 7702292111
Mailing address
655 Will St
Griffin, GA 302244236
📞 7702296072fax 7702292111

Additional practice locations

1 secondary location on file with NPPES.

Location 2
655 Will St
Griffin, GA 302244236
📞 7702296072fax 7702292111

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #072654MN license #52678ND license #9950 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 13 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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