P Praxis·MD
● Active Type 1 · Individual

MR. Gary Steven Koller

Clinical Nurse Specialist·Lumpkin, GA· NPI 1205258431 · Enumerated 2014 · 12 years on NPI
Koller is 1 of 1 clinical nurse specialist providers in Lumpkin and 1 of 20 in Georgia.
NPI age
12 years
Enumerated 2014-01-07
Primary specialty
Clinical Nurse Specialist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-06-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 20 active clinical nurse specialist providers in Georgia.

NPI age
12 years
≈ at median (11 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-01Enumerated in NPPES
2014 2026

Where they practice

Practice location
76 Holder Road
Lumpkin, GA 31815
📞 2298381241fax 2298381242
Mailing address
79 Holder Road
Lumpkin, GA 31815
📞 2298381241

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    GA license #RN218792 taxonomy 364SF0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Provyx · Custom healthcare lists

Need all 20 Clinical Nurse Specialist providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

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.

Related