P Praxis·MD
● Active Type 1 · Individual

Kevin Lee Jensen, M.D.

Surgery·Lawrenceville, GA· NPI 1497855779 · Enumerated 2006 · 19 years on NPI
Jensen is 1 of 20 surgery providers in Lawrenceville and 1 of 1389 in Georgia.
NPI age
19 years
Enumerated 2006-09-25
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-04-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
743 Old Norcross Rd
Lawrenceville, GA 300464317
📞 7705131763fax 7705132199
Mailing address
743 Old Norcross Rd
Lawrenceville, GA 300464317
📞 7705131763fax 7705132199

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #28794 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (GA) 00435058D

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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