P Praxis·MD
● Active Type 1 · Individual

MRS. Kimberly Lott, PA-C

Physician Assistant·Douglas, GA· NPI 1306802236 · Enumerated 2006 · 20 years on NPI
Lott is 1 of 8 physician assistant providers in Douglas and 1 of 1333 in Georgia.
NPI age
20 years
Enumerated 2006-04-20
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 Doctors Dr Ste G
Douglas, GA 315332211
📞 9123846186fax 9123846187
Mailing address
Po Box 1377
Douglas, GA 315341377
📞 9123841477fax 9123841470

Additional practice locations

1 secondary location on file with NPPES.

Location 2
200 Doctors Dr Ste S
Douglas, GA 315332203
📞 9122920658fax 9122920670

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #004095 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (GA) 173328689C
05 (GA) 173328689A
01 (GA) 004095 MEDICAL LICENSE
05 (GA) 173328689B

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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