P Praxis·MD
● Active Type 1 · Individual

Edwin Glenn Whitney, MD

Surgery·Carrollton, GA· NPI 1992860985 · Enumerated 2006 · 19 years on NPI
Whitney is 1 of 3 surgery providers in Carrollton and 1 of 268 in Georgia.
NPI age
19 years
Enumerated 2006-12-27
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-14
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
19 years
≈ at median (18 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
157 Clinic Ave, Suite 302
Carrollton, GA 301174454
📞 7708125902fax 7708125903
Mailing address
119 Ambulance Dr, Suite 202
Carrollton, GA 301173857
📞 7708388710fax 7708388563

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 #044604 taxonomy 2086S0129X

Identifiers

TypeValueNotes
05 (GA) 000841079B
05 (GA) 000841079D
05 (GA) 000841079I
05 (GA) 000841079C

Practice context

Part of a multi-provider practice. 26 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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