P Praxis·MD
● Active Type 1 · Individual

Latisha Harris

Clinic/Center·Jonesboro, GA· NPI 1245601137 · Enumerated 2015 · 10 years on NPI
Harris is 1 of 3 clinic/center providers in Jonesboro and 1 of 337 in Georgia.
NPI age
10 years
Enumerated 2015-10-17
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 337 active clinic/center providers in Georgia.

NPI age
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-10Enumerated in NPPES
2015 2026

Where they practice

Practice location
307 Kendrick Estates Dr
Jonesboro, GA 302382196
📞 7704718037fax 7704718037
Mailing address
307 Kendrick Estates Dr
Jonesboro, GA 302382196
📞 7704718037fax 7704718037

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #390588082 taxonomy 261QH0100X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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