P Praxis·MD
● Active Type 2 · Organization

Clinica Agave Clinic

Nurse Practitioner·Forest Park, GA· NPI 1407091705 · Enumerated 2008 · 17 years on NPI
Clinica Agave Clinic is 1 of 8826 nurse practitioner organizations in Georgia.
NPI age
17 years
Enumerated 2008-12-16
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chabot
Provider
Last NPPES update
2008-12-16
Source: monthly bulk 2026-05

How this organization compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
17 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-12Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
4434 Jonesboro Rd
Forest Park, GA 302974313
📞 4044473444fax 4043773445
Mailing address
4434 Jonesboro Rd
Forest Park, GA 302974313
📞 4044473444fax 4043773445

Authorized official

Judith T Chabot, FNP-C
Provider
📞 4044473444

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LF0000X

Practice context

Single-site organization. Only one practice location on file.

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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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