P Praxis·MD
● Active Type 1 · Individual

Benaissa Kaddour Djebbar

Nurse Practitioner·Augusta, GA· NPI 1114200029 · Enumerated 2011 · 14 years on NPI
Kaddour Djebbar is 1 of 257 nurse practitioner providers in Augusta and 1 of 8826 in Georgia.
NPI age
14 years
Enumerated 2011-09-27
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-09-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-09Enumerated in NPPES
2011 2026

Where they practice

Practice location
3405 Mike Padgett Hwy, East Central Regional Hospital -Forensic Unit
Augusta, GA 309063815
📞 7067927073
Mailing address
2060 Dundee Way
Grovetown, GA 308138124
📞 7066273762

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN 204732 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 31 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Augusta in the last 180 days. See all →
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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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