P Praxis·MD
● Active Type 1 · Individual

DR. Damon W. Brantley, M.D.

Surgery·St. Marys, GA· NPI 1902868011 · Enumerated 2006 · 20 years on NPI
Brantley is 1 of 1 surgery providers in St. Marys and 1 of 1389 in Georgia.
NPI age
20 years
Enumerated 2006-04-04
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-17
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
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
2040 Dan Proctor Drive, Suite 240
St. Marys, GA 315583801
📞 9125766340fax 9125766341
Mailing address
2040 Dan Proctor Drive, Suite 240
St. Marys, GA 315583801
📞 9125766340fax 9125766341

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 #064337 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (GA) 003101326B

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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