P Praxis·MD
● Active Type 2 · Organization Subpart

Nurse Practioner

Clinic/Center·Kennesaw, GA· NPI 1629519202 · Enumerated 2017 · 9 years on NPI
Nurse Practioner is 1 of 61 clinic/center organizations in Georgia.
NPI age
9 years
Enumerated 2017-03-15
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kombe
Fnp
Last NPPES update
2017-03-15
Source: monthly bulk 2026-05

How this organization compares

Across 61 active clinic/center providers in Georgia.

NPI age
9 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 24% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-03Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
4044 George Busbee Pkwy Nw Apt 4207
Kennesaw, GA 301446890
📞 4045791658
Mailing address
Po Box 1234
Powder Springs, GA 301277234
📞 4045791658

Authorized official

Rose Kombe, NP
Fnp
📞 4045791658

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #193760 taxonomy 261QC1500X
  • Point of Service
    This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
    GA license #193760 taxonomy 305S00000X

Practice context

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

Subpart of Independent Contractor.

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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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