P Praxis·MD
● Active Type 1 · Individual

Jordan Beaver

Counselor·Pooler, GA· NPI 1588289433 · Enumerated 2020 · 5 years on NPI
Beaver is 1 of 29 counselor providers in Pooler and 1 of 7547 in Georgia.
NPI age
5 years
Enumerated 2020-06-16
Primary specialty
Counselor
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-06Enumerated in NPPES
2020 2026

Where they practice

Practice location
109 N Sheftall St
Pooler, GA 313222517
📞 9125812362
Mailing address
Po Box 1242
Statesboro, GA 304591242

Additional practice locations

1 secondary location on file with NPPES.

Location 2
27 S Main St
Statesboro, GA 304585245
📞 9122253769

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YP2500X

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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