P Praxis·MD
● Active Type 1 · Individual

Kennedy Brooke Osborne

Nurse Practitioner·MacOn, GA· NPI 1154048155 · Enumerated 2022 · 3 years on NPI
Osborne is 1 of 24 nurse practitioner providers in MacOn and 1 of 929 in Georgia.
NPI age
3 years
Enumerated 2022-10-20
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
3 years
↓ 7 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
1
In the 19% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Practice location
888 Pine St
MacOn, GA 312012109
📞 4786331000
Mailing address
888 Pine St
MacOn, GA 312012109

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN268261 taxonomy 363LP0200X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN268261 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 13 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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