P Praxis·MD
● Active Type 2 · Organization

Troop Medical Clinic #4

Clinic/Center·Ft. Stewart, GA· NPI 1588653158 · Enumerated 2005 · 20 years on NPI
Troop Medical Clinic #4 is 1 of 46 clinic/center organizations in Georgia.
NPI age
20 years
Enumerated 2005-10-17
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Parks
Physician Assistant
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 46 active clinic/center providers in Georgia.

NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Primary practice location
1061 Harmon Ave, Ste 1d03, Winn Army Community Hospital
Ft. Stewart, GA 313145611
📞 9124356933
Mailing address
92 Brittany Ct
Richmond Hill, GA 313245184
📞 9127273073

Authorized official

Patrick Michael Parks, PHYSICIAN ASSISTANT
Physician Assistant
📞 9124355179

Specialties

  • Clinic/Center Primary
    The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a...
    GA license #004529 taxonomy 261QM1100X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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