P Praxis·MD
● Active Type 1 · Individual

Stephanie Denise Sulewski, NCMA

Military Health Care Provider·Kings Bay, GA· NPI 1114221439 · Enumerated 2010 · 15 years on NPI
Sulewski is 1 of 2 military health care provider providers in Kings Bay and 1 of 73 in Georgia.
NPI age
15 years
Enumerated 2010-12-29
Primary specialty
Military Health Care Provider
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-12-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 73 active military health care provider providers in Georgia.

NPI age
15 years
↑ 5 yr above median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-12Enumerated in NPPES
2010 2026

Where they practice

Practice location
1063 Uss Tennessee Ave, Avenue Ql 11
Kings Bay, GA 315472606
📞 2106510027
Mailing address
1025 Mad Fox Dr
Jacksonville, FL 322121124
📞 8434417408

Specialties

  • Military Health Care Provider Primary
    An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and...
    TX license #616377 taxonomy 1710I1003X

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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