P Praxis·MD
● Active Type 1 · Individual

Jennifer R. Pedersen, DO

Internal Medicine·Evans, GA· NPI 1073606661 · Enumerated 2006 · 19 years on NPI
Pedersen is 1 of 3 internal medicine providers in Evans and 1 of 292 in Georgia.
NPI age
19 years
Enumerated 2006-10-02
Primary specialty
Internal Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-10-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 292 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
4321 University Pkwy Ste 101
Evans, GA 30809
📞 7067745995fax 7067745996
Mailing address
Po Box 1705
Augusta, GA 309031705
📞 7067747760fax 7067747766

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1303 Dantignac St, Ste 1200
Augusta, GA 309012775
📞 7067747760fax 7067747766
Location 3
820 Saint Sebastian Way Ste 4a
Augusta, GA 309012643
📞 7067745995fax 7067745996

Specialties

  • Internal Medicine Primary
    An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary...
    GA license #052616 taxonomy 207RE0101X

Identifiers

TypeValueNotes
05 (GA) 000957932B
05 (SC) G52616

Practice context

Solo or small practice. No 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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