P Praxis·MD
● Active Type 1 · Individual

Cristine Palacios Miclat, APRN, BC

Nurse Practitioner·Fort Stewart, GA· NPI 1649418310 · Enumerated 2009 · 17 years on NPI
Miclat is 1 of 3 nurse practitioner providers in Fort Stewart and 1 of 806 in Georgia.
NPI age
17 years
Enumerated 2009-02-03
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
17 years
↑ 6 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-02Enumerated in NPPES
2009 2026

Where they practice

Practice location
1061 Harmon Ave, Ste 1d03
Fort Stewart, GA 313145641
📞 9124356965
Mailing address
1061 Harmon Ave, Ste 1d03
Fort Stewart, GA 313145641
📞 9124356965

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN135637 taxonomy 363LA2200X

Identifiers

TypeValueNotes
01 01299571 AMERIGROUP
05 (GA) 158532534B
01 (GA) P00714517 RR MEDICARE

Practice context

Part of a multi-provider practice. 1034 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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