P Praxis·MD
● Active Type 1 · Individual

Ethan Jesse Speir, MD

Radiology·Marietta, GA· NPI 1992202121 · Enumerated 2018 · 8 years on NPI
Speir is 1 of 16 radiology providers in Marietta and 1 of 160 in Georgia.
NPI age
8 years
Enumerated 2018-04-13
Primary specialty
Radiology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 160 active radiology providers in Georgia.

NPI age
8 years
↓ 9 yr below median (17 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
64% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-04Enumerated in NPPES
2018 2026

Where they practice

Practice location
790 Church St Ne Ste 400
Marietta, GA 300608957
📞 7704052976
Mailing address
Po Box 3157
Indianapolis, IN 462063157
📞 7704052976

Additional practice locations

1 secondary location on file with NPPES.

Location 2
201 Dowman Dr Ne
Atlanta, GA 303221007
📞 4047276123

Specialties

  • Radiology Primary
    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
    GA license #99453 taxonomy 2085R0204X

Practice context

Part of a multi-provider practice. 68 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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