NPI age
17 years
Enumerated 2008-12-16
● Active Type 2 · Organization
Clinica Agave Clinic
Clinica Agave Clinic is 1 of 8826 nurse practitioner organizations in Georgia.
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
Mailing address
4434 Jonesboro Rd
Forest Park, GA 302974313
Authorized official
Judith T Chabot, FNP-C
Provider
📞 4044473444
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.