P Praxis·MD
● Active Type 2 · Organization

Bliss Primary And Urgent Care Pc

Nurse Practitioner·Clarkston, GA· NPI 1659874287 · Enumerated 2018 · 8 years on NPI
Bliss Primary And Urgent Care Pc is 1 of 8826 nurse practitioner organizations in Georgia.
NPI age
8 years
Enumerated 2018-03-09
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Authorized Official
Last NPPES update
2018-03-09
Source: monthly bulk 2026-05

How this organization compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
8 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
4600 E Ponce De Leon Ave Ste A
Clarkston, GA 300211839
📞 4048082125fax 8777795837
Mailing address
4600 E Ponce De Leon Ave Ste A
Clarkston, GA 300211839
📞 4048082125fax 8777795837

Authorized official

Miles Johnson, MD
Authorized Official
📞 4046644578

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LF0000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QU0200X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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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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