P Praxis·MD
● Active Type 1 · Individual

DR. Andrew Phillip Stack, MD

Pediatrics·Columbus, GA· NPI 1902063407 · Enumerated 2008 · 18 years on NPI
Stack is 1 of 2 pediatrics providers in Columbus and 1 of 77 in Georgia.
NPI age
18 years
Enumerated 2008-05-21
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 77 active pediatrics providers in Georgia.

NPI age
18 years
≈ at median (17 yr)
State licenses
1 state
37% of peers hold multiple states
Subspecialties
1
In the 64% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
710 Center St
Columbus, GA 319011527
📞 7065711311
Mailing address
4700 Waters Ave
Savannah, GA 314046220
📞 9123508180fax 9123505697

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4700 Waters Ave
Savannah, GA 314046220
📞 9123508180fax 9123505697

Specialties

  • Pediatrics Primary
    A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
    GA license #71886 taxonomy 2080P0203X
  • Anesthesiology
    An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
    GA license #071886 taxonomy 207L00000X

Identifiers

TypeValueNotes
01 (GA) P01335436 RAILROAD MEDICARE
05 (GA) 003146322A

Practice context

Part of a multi-provider practice. 271 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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