Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ajay Mistry, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518493519

Dr. Ajay Mistry, DO is an Emergency Medicine in Stockbridge, Georgia. Graduated from Michigan State University College of Osteopathic Medicine in 2017, 9 years ago. Practices with Walker Lake Emergency Group PC, a 32-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
9
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
GA, MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone: (678) 604-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 S 8th St, Griffin, GA 30224-4213 — (770) 228-2721

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 86333 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1518493519
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESNovember 30, 2022
Certification dateDecember 7, 2020
Mailing address77 12th St Ne Unit 1707, Atlanta, GA 30309-4078

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2017 (9 years in practice)
Group practice Walker Lake Emergency Group Pc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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