P Praxis·MD
● Active Type 2 · Organization

First Coast Ent

Specialist·Saint Marys, GA· NPI 1346427143 · Enumerated 2008 · 18 years on NPI
First Coast Ent is 1 of 1881 specialist organizations in Georgia.
NPI age
18 years
Enumerated 2008-01-24
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fraker
Md/owner
Last NPPES update
2008-01-24
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-01Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2040 Dan Proctor Dr, Suite 250
Saint Marys, GA 315583811
📞 9127292794fax 9127294469
Mailing address
2040 Dan Proctor Dr, Suite 250
Saint Marys, GA 315583811
📞 9127292794fax 9127294469

Authorized official

John Temple Fraker, MD
Md/owner
📞 9127292794

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    GA license #056552 taxonomy 174400000X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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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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