P Praxis·MD
● Active Type 1 · Individual

Nicole S Kearney, M.D.

Pediatrics·Peachtree City, GA· NPI 1568470235 · Enumerated 2006 · 19 years on NPI
Kearney is 1 of 11 pediatrics providers in Peachtree City and 1 of 2726 in Georgia.
NPI age
19 years
Enumerated 2006-08-04
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
4000 Shakerag Hl Ste 201
Peachtree City, GA 302694047
📞 7704867111
Mailing address
4000 Shakerag Hl Ste 201
Peachtree City, GA 302694047
📞 7704867111

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #78055TN license #41059 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (TN) 195037 BETTER HEALTH PLANS OF TN
01 (TN) 4133891 BCBS
01 (TN) 195037 UNISON
01 (TN) 7347856 ATHENA
01 (TN) 38165 TLC
05 (TN) 3827707
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

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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