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.

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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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