P Praxis·MD
● Active Type 1 · Individual

Jodi Lynne Pettygrove, FNP

Nurse Practitioner·Warner Robins, GA· NPI 1033779657 · Enumerated 2019 · 6 years on NPI
Pettygrove is 1 of 105 nurse practitioner providers in Warner Robins and 1 of 8826 in Georgia.
NPI age
6 years
Enumerated 2019-06-17
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-06-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
6 years
≈ at median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
115 Havelock Cir
Warner Robins, GA 31088
📞 4783347958
Mailing address
Po Box 464
Walworth, WI 531840464
📞 9188009066

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN263633 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in Warner Robins in the last 180 days. See all →
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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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