P Praxis·MD
● Active Type 1 · Individual

MS. Jaclyn Kaylor Donovan, MBA, MS, ATC, LAT

Specialist/Technologist·Moultrie, GA· NPI 1295952042 · Enumerated 2007 · 19 years on NPI
Donovan is 1 of 10 specialist/technologist providers in Moultrie and 1 of 1405 in Georgia.
NPI age
19 years
Enumerated 2007-04-20
Primary specialty
Specialist/Technologist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-04-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1405 active specialist/technologist providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
3100 Veterans Pkwy S, Vereen Rehabilitation Center
Moultrie, GA 317889400
📞 2298903553fax 2298905331
Mailing address
Po Box 40, Vereen Rehabilitation Center
Moultrie, GA 317760040
📞 2298903553fax 2298905331

Specialties

  • Specialist/Technologist Primary
    Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
    GA license #AT000935 taxonomy 2255A2300X

Practice context

Part of a multi-provider practice. 10 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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