P Praxis·MD
● Active Type 1 · Individual

MRS. Kimberly Lacynthia Logan, APRN

Nurse Practitioner·Chatsworth, GA· NPI 1417147463 · Enumerated 2007 · 18 years on NPI
Logan is 1 of 27 nurse practitioner providers in Chatsworth and 1 of 8826 in Georgia.
NPI age
18 years
Enumerated 2007-07-26
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
1440 Jackson Lake Rd
Chatsworth, GA 307054109
📞 9043773301
Mailing address
1440 Jackson Lake Rd
Chatsworth, GA 307054109

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    FL license #9166317 taxonomy 363LF0000X
  • Nurse Practitioner
    Definition to come...
    FL license #9166317 taxonomy 363LG0600X

Identifiers

TypeValueNotes
05 (FL) 001458200

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Chatsworth in the last 180 days. See all →
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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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