P Praxis·MD
● Active Type 1 · Individual

MS. Mary Celeste Wade, RT

Radiologic Technologist·Kennesaw, GA· NPI 1902077415 · Enumerated 2008 · 18 years on NPI
Wade is 1 of 1 radiologic technologist providers in Kennesaw and 1 of 36 in Georgia.
NPI age
18 years
Enumerated 2008-03-12
Primary specialty
Radiologic Technologist
Licensed in
VA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-03-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 36 active radiologic technologist providers in Georgia.

NPI age
18 years
↑ 15 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-03Enumerated in NPPES
2008 2026

Where they practice

Practice location
1029 Travelers Trl Nw
Kennesaw, GA 301442870
📞 7704281026
Mailing address
1029 Travelers Trl Nw
Kennesaw, GA 301442870
📞 7704281026

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...
    VA license #0120005300 taxonomy 2471C3402X

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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