P Praxis·MD
● Active Type 1 · Individual

Kimberly Rae Warren, MSN, APRN, AGPCNP-BC

Nurse Practitioner·Vidalia, GA· NPI 1104505460 · Enumerated 2023 · 2 years on NPI
Warren is 1 of 2 nurse practitioner providers in Vidalia and 1 of 806 in Georgia.
NPI age
2 years
Enumerated 2023-07-14
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 9 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-07Enumerated in NPPES
2023 2026

Where they practice

Practice location
2203 Ga Highway 130 W
Vidalia, GA 304745555
📞 9122455491
Mailing address
2203 Ga Highway 130 W
Vidalia, GA 304745555
📞 9122455491

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN269449 taxonomy 363LA2200X

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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