P Praxis·MD
● Active Type 1 · Individual

Jessica Ann Smith, AGPCNP-BC

Nurse Practitioner·Bonaire, GA· NPI 1255827390 · Enumerated 2018 · 7 years on NPI
Smith is 1 of 1 nurse practitioner providers in Bonaire and 1 of 806 in Georgia.
NPI age
7 years
Enumerated 2018-07-02
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
7 years
↓ 4 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
105 Donna Kay Ct
Bonaire, GA 310054333
📞 4782201707
Mailing address
105 Donna Kay Ct
Bonaire, GA 310054333
📞 4782201707

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN219331 taxonomy 363LA2200X

Practice context

Solo or small practice. No other active providers share 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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