P Praxis·MD
● Active Type 1 · Individual

Kianna Tymoria Boone

Technician, Pathology·Fitzgerald, GA· NPI 1063036051 · Enumerated 2020 · 5 years on NPI
Boone is 1 of 1 technician, pathology providers in Fitzgerald and 1 of 307 in Georgia.
NPI age
5 years
Enumerated 2020-06-04
Primary specialty
Technician, Pathology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-06-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 307 active technician, pathology providers in Georgia.

NPI age
5 years
↑ 3 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
608 S Lee St
Fitzgerald, GA 317503217
📞 2294722246
Mailing address
608 S Lee St
Fitzgerald, GA 317503217
📞 2294722246

Specialties

  • Technician, Pathology Primary
    Definition to come...
    GA license #318-10178 taxonomy 246RP1900X

Identifiers

TypeValueNotes
01 (GA) 20070770 ARTICLE OF ORGANIZATION

Practice context

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

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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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