P Praxis·MD
● Active Type 1 · Individual

Nizar Hariri, M.D

Surgery·Braselton, GA· NPI 1942562863 · Enumerated 2012 · 13 years on NPI
Hariri is 1 of 3 surgery providers in Braselton and 1 of 268 in Georgia.
NPI age
13 years
Enumerated 2012-06-15
Primary specialty
Surgery
Plus 4 subspecialties
Licensed in
GA, VA, MI, OH
4 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 268 active surgery providers in Georgia.

NPI age
13 years
↓ 5 yr below median (18 yr)
State licenses
4 states
Top 82% — 17% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Practice location
1404 River Pl Ste 201
Braselton, GA 305175600
📞 7702194000
Mailing address
Po Box 742616
Atlanta, GA 303742616
📞 7702198420fax 7572242198

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
3000 Coliseum Dr Ste 200
Hampton, VA 236665963
📞 7577367250fax 7572242198
Location 3
2109 Hughes Dr Ste 450
Toledo, OH 436065102
📞 4192912003fax 4194796977

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    GA license #97125VA license #0101271037 taxonomy 2086S0129X
  • Surgery
    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...
    VA license #0101271037MI license #4601500938OH license #35131760 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (GA) 97125 GEORGIA COMPOSITE MEDICAL BOARD
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 11 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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