P Praxis·MD
● Active Type 2 · Organization

Ogeechee Ob-Gyn, P.c.

Nurse Practitioner·Statesboro, GA· NPI 1134198104 · Enumerated 2006 · 20 years on NPI
Ogeechee Ob-Gyn, P.c. is 1 of 107 nurse practitioner organizations in Georgia.
NPI age
20 years
Enumerated 2006-03-14
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Office Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 107 active nurse practitioner providers in Georgia.

NPI age
20 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-03Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1497 Fair Rd, Suite 300
Statesboro, GA 304580822
📞 9128716206fax 9126818558
Mailing address
1497 Fair Rd, Suite 300
Statesboro, GA 304580822
📞 9128716206fax 9126818558

Authorized official

Tonya Kay Clark
Office Manager
📞 9128716206

Individual providers at this organization

8 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN069911 NP taxonomy 363LX0001X

Identifiers

TypeValueNotes
01 (GA) 1134198104 NPI
01 (GA) RN069911NP LICENSE

Practice context

Multi-provider organization. 8 individual providers on file at this primary address.

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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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