P Praxis·MD
● Active Type 2 · Organization

Georgia Psych Services Llc

Nurse Practitioner·Locust Grove, GA· NPI 1245801075 · Enumerated 2021 · 4 years on NPI
Georgia Psych Services Llc is 1 of 1622 nurse practitioner organizations in Georgia.
NPI age
4 years
Enumerated 2021-07-02
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rae
Ceo
Last NPPES update
2021-08-24
Source: monthly bulk 2026-05

How this organization compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-07Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
4922 Bill Gardner Pkwy # 2
Locust Grove, GA 302483647
📞 3305363746fax 3302674250
Mailing address
3593 Medina Line Rd 181
Medina, OH 44256
📞 3306649250fax 3302674250

Authorized official

Robert Sean Rae, MD
Ceo
📞 3305363746

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    taxonomy 363L00000X

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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