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

Dr. Puya Davoodi, MD

Individual provider Surgery Physician · NPI 1457432601

Dr. Puya Davoodi, MD is a Plastic and Reconstructive Surgery in Gainesville, Georgia. Graduated from Emory University School of Medicine in 2003, 23 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group and accepts Medicare assignment. Licensed in Florida, Georgia and South Carolina.

Years since qualifying
23
Trained at
Emory University School of Medicine
Licensed in
FL, GA, SC
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1296 Sims St Ste B
Gainesville, GA 30501-3835
Phone: (770) 534-1856
Fax: (770) 531-0355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 062833 (GA)
Surgery Physician Taxonomy 208600000X · Licence LL25628 (SC)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence TRN13669 (FL)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence ME111956 (FL)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 062833 (GA)
General Practice Physician Taxonomy 208D00000X · Licence 062833 (GA)

Record details

NPI number1457432601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address1296 Sims St Ste B, Gainesville, GA 30501-3873

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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