P Praxis·MD
● Active Type 1 · Individual

Levi Jelks JR., NURSE PRACTITIONER

Nurse Practitioner·Riverdale, GA· NPI 1306333083 · Enumerated 2018 · 8 years on NPI
Jelks is 1 of 5 nurse practitioner providers in Riverdale and 1 of 950 in Georgia.
NPI age
8 years
Enumerated 2018-04-18
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-04-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
8 years
↑ 2 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-04Enumerated in NPPES
2018 2026

Where they practice

Practice location
83 Upper Riverdale Road
Riverdale, GA 302743029
📞 7709687933
Mailing address
1939 Highway 138 Sw
Riverdale, GA 302961819

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN130092 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 4 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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