P Praxis·MD
● Active Type 1 · Individual

Godlive Athis

Dentist·MacOn, GA· NPI 1922998236 · Enumerated 2025 · 0 years on NPI
Athis is 1 of 77 dentist providers in MacOn and 1 of 4309 in Georgia.
NPI age
— years
Enumerated 2025-07-08
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
0 years
↓ 18 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-07Enumerated in NPPES
2025 2026

Where they practice

Practice location
5005 Riverside Dr Ste A
MacOn, GA 312101380
📞 4784050664
Mailing address
110 Peach Blossom Road # 140
Bonaire, GA 31005
📞 7865414431

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN123932 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in MacOn in the last 180 days. See all →
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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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