P Praxis·MD
● Active Type 1 · Individual

Kathryn Grace Entrekin

Nurse Practitioner·Carrollton, GA· NPI 1093346470 · Enumerated 2020 · 6 years on NPI
Entrekin is 1 of 5 nurse practitioner providers in Carrollton and 1 of 1622 in Georgia.
NPI age
6 years
Enumerated 2020-02-04
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-09-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
6 years
↑ 2 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
112 Corporate Dr
Carrollton, GA 301172464
📞 7702142300fax 7702149756
Mailing address
112 Corporate Dr
Carrollton, GA 301172464

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN197971 taxonomy 363LP0808X
  • Registered Nurse
    Definition to come...
    GA license #RN197971 taxonomy 163WP0807X

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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