P Praxis·MD
● Active Type 2 · Organization

Middle Ga Family Practice Llc

Clinic/Center·Eastman, GA· NPI 1669325643 · Enumerated 2026 · 0 years on NPI
Middle Ga Family Practice Llc is 1 of 655 clinic/center organizations in Georgia.
NPI age
— years
Enumerated 2026-02-18
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fordham
Manager
Last NPPES update
2026-03-17
Source: monthly bulk 2026-05

How this organization compares

Across 655 active clinic/center providers in Georgia.

NPI age
0 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2026 → 2026

2026-02Enumerated in NPPES
2026 2026

Where they practice

Primary practice location
1085 Plaza Ave Ste A
Eastman, GA 310239102
📞 4782205444fax 4785591073
Mailing address
1085 Plaza Ave Ste A
Eastman, GA 310239102
📞 4782205444fax 4785591073

Authorized official

Jina J Fordham
Manager
📞 4782205444

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QP2300X

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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