P Praxis·MD
● Active Type 1 · Individual

Kelly Tally, DPM

Podiatrist·Suwanee, GA· NPI 1932673902 · Enumerated 2019 · 7 years on NPI
Tally is 1 of 12 podiatrist providers in Suwanee and 1 of 397 in Georgia.
NPI age
7 years
Enumerated 2019-01-14
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 397 active podiatrist providers in Georgia.

NPI age
7 years
↓ 8 yr below median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Practice location
1300 Peachtree Industrial Blvd Ste 4105
Suwanee, GA 300244541
📞 4705891204fax 4705891465
Mailing address
1300 Peachtree Industrial Blvd Ste 4105
Suwanee, GA 300244541
📞 4705891204fax 4705891465

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
590 S Enota Dr Ne Ste 1
Gainesville, GA 305012433
📞 4702525756fax 4702525829
Location 3
2701 N Decatur Rd
Decatur, GA 300335918
📞 4045017188

Specialties

  • Podiatrist Primary
    Definition to come...
    GA license #POD001396 taxonomy 213ES0103X

Practice context

Part of a multi-provider practice. 2 other active providers share 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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