P Praxis·MD
● Active Type 1 · Individual

DR. Preston Gantt, MD, SA-C

Surgery·Loganville, GA· NPI 1902304538 · Enumerated 2018 · 8 years on NPI
Gantt is 1 of 3 surgery providers in Loganville and 1 of 1389 in Georgia.
NPI age
8 years
Enumerated 2018-01-29
Primary specialty
Surgery
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
8 years
↓ 9 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-01Enumerated in NPPES
2018 2026

Where they practice

Practice location
367 Athens Hwy Ste 100c
Loganville, GA 300522204
📞 7705804929fax 9495615102
Mailing address
367 Athens Hwy Ste 100c
Loganville, GA 300522204
📞 7705804929fax 9495615102

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...
    FL license #34292 taxonomy 208600000X

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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