P Praxis·MD
● Active Type 1 · Individual

Cliford Charles

Emergency Medical Technician, Basic·Locust Grove, GA· NPI 1346982766 · Enumerated 2022 · 4 years on NPI
Charles is 1 of 1 emergency medical technician, basic providers in Locust Grove and 1 of 78 in Georgia.
NPI age
4 years
Enumerated 2022-04-07
Primary specialty
Emergency Medical Technician, Basic
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2024-03-31
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 78 active emergency medical technician, basic providers in Georgia.

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

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Practice location
616 Dyer Dr
Locust Grove, GA 302482350
📞 7704809608
Mailing address
616 Dyer Dr
Locust Grove, GA 302482350
📞 7702689889

Specialties

  • Emergency Medical Technician, Basic Primary
    A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
    taxonomy 146N00000X

Practice context

Part of a multi-provider practice. 2 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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