P Praxis·MD
● Active Type 2 · Organization

Altamaha Primary Care, Llc

Nurse Practitioner·Jesup, GA· NPI 1093472896 · Enumerated 2021 · 4 years on NPI
Altamaha Primary Care, Llc is 1 of 383 nurse practitioner organizations in Georgia.
NPI age
4 years
Enumerated 2021-11-29
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kirk
Owner/president
Last NPPES update
2021-11-29
Source: monthly bulk 2026-05

How this organization compares

Across 383 active nurse practitioner providers in Georgia.

NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2021 → 2026

2021-11Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
248 Ne Broad St
Jesup, GA 315464371
📞 9125592696fax 9125592420
Mailing address
248 Ne Broad St
Jesup, GA 315464371
📞 9125592696fax 9125592420

Authorized official

Kimberly Kirk, AGACNP, RN
Owner/president
📞 9125592420

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP2300X

Identifiers

TypeValueNotes
05 (GA) G07348B

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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