P Praxis·MD
● Active Type 2 · Organization

Lake Oconee Urgent And Specialty Care Center

Physician Assistant·Eatonton, GA· NPI 1235547431 · Enumerated 2014 · 11 years on NPI
Lake Oconee Urgent And Specialty Care Center is 1 of 1333 physician assistant organizations in Georgia.
NPI age
11 years
Enumerated 2014-07-31
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Richardson
Physician/practice Owner
Last NPPES update
2014-07-31
Source: monthly bulk 2026-05

How this organization compares

Across 1333 active physician assistant providers in Georgia.

NPI age
11 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Primary practice location
105 Harmony Xing, Suite 3
Eatonton, GA 310249522
📞 7064840884
Mailing address
1881 Lancaster Dr Se
Conyers, GA 300136440
📞 4044057596

Authorized official

Eddie Richardson, M.D.
Physician/practice Owner
📞 7064840884

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #7235 taxonomy 363AM0700X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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