P Praxis·MD
● Active Type 1 · Individual

Kimberly Bagwell, PHARMD

Pharmacist·Martinez, GA· NPI 1174984231 · Enumerated 2016 · 10 years on NPI
Bagwell is 1 of 40 pharmacist providers in Martinez and 1 of 8384 in Georgia.
NPI age
10 years
Enumerated 2016-03-16
Primary specialty
Pharmacist
Plus 1 subspecialty
Licensed in
SC, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-03-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8384 active pharmacist providers in Georgia.

NPI age
10 years
≈ at median (9 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-03Enumerated in NPPES
2016 2026

Where they practice

Practice location
4115 Columbia Rd
Martinez, GA 309070405
📞 7068639645
Mailing address
4115 Columbia Rd
Martinez, GA 309070405

Specialties

  • Pharmacist Primary
    An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
    SC license #PH.13241GA license #RPH025572 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 10 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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