P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer Logan, DNP, PMHNP

Nurse Practitioner·Martinez, GA· NPI 1194335620 · Enumerated 2020 · 5 years on NPI
Logan is 1 of 2 nurse practitioner providers in Martinez and 1 of 1622 in Georgia.
NPI age
5 years
Enumerated 2020-08-10
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
5 years
≈ at median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-08Enumerated in NPPES
2020 2026

Where they practice

Practice location
519 Blackburn Dr Ste 523
Martinez, GA 309078202
📞 7065247134
Mailing address
519 Blackburn Dr Ste 523
Martinez, GA 309078202
📞 7065247134

Additional practice locations

1 secondary location on file with NPPES.

Location 2
424 Scotts Way
Augusta, GA 309093135
📞 7066273090

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #249421 taxonomy 363LP0808X

Practice context

Solo or small practice. No 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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