P Praxis·MD
● Active Type 1 · Individual

DR. Mohammed Jaafar Atta Al Fayyadh, M.D.

Surgery·Canton, GA· NPI 1912342841 · Enumerated 2013 · 13 years on NPI
Al Fayyadh is 1 of 7 surgery providers in Canton and 1 of 1389 in Georgia.
NPI age
13 years
Enumerated 2013-05-06
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-04-07
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
13 years
↓ 4 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
470 Northside Cherokee Blvd Ste 365
Canton, GA 301158029
📞 7702774277fax 4042525745
Mailing address
470 Northside Cherokee Blvd Ste 365
Canton, GA 301158029
📞 7702774277fax 4042525745

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 #84831 taxonomy 208600000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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