NPI age
6 years
Enumerated 2019-10-29
● Active
Type 1 · Individual
MRS. Kimberly G Luckman, NP
Luckman is 1 of 7 nurse practitioner providers in Lagrange and 1 of 806 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 806 active nurse practitioner providers in Georgia.
NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-10Enumerated in NPPES
2019
2026
Where they practice
Practice location
505 Jenkins St
Lagrange, GA 302404225
Mailing address
505 Jenkins St
Lagrange, GA 302404225
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.