P Praxis·MD
● Active Type 2 · Organization

Immediate Care Of Rome #1, Llc

Nurse Practitioner·Rome, GA· NPI 1144552423 · Enumerated 2010 · 16 years on NPI
Immediate Care Of Rome #1, Llc is 1 of 3206 nurse practitioner organizations in Georgia.
NPI age
16 years
Enumerated 2010-02-11
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wildmon
Coo
Last NPPES update
2010-02-11
Source: monthly bulk 2026-05

How this organization compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
16 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-02Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
18 Riverbend Dr Sw, Suite 230
Rome, GA 301616013
📞 7062912999fax 7062914006
Mailing address
18 Riverbend Dr Sw, Suite 230
Rome, GA 301616013
📞 7062912999fax 7062914006

Authorized official

Robert Wildmon
Coo
📞 7063541036

Individual providers at this organization

4 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN113917 taxonomy 363L00000X

Practice context

Multi-provider organization. 4 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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