P Praxis·MD
● Active Type 2 · Organization

Maldonado & Moreno, Pc

Family Medicine·Jackson, GA· NPI 1699815340 · Enumerated 2007 · 19 years on NPI
Maldonado & Moreno, Pc is 1 of 5448 family medicine organizations in Georgia.
NPI age
19 years
Enumerated 2007-02-08
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Washington
Billing
Last NPPES update
2015-04-10
Source: monthly bulk 2026-05

How this organization compares

Across 5448 active family medicine providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
375 McDonough Rd
Jackson, GA 302331509
📞 7707754622
Mailing address
375 McDonough Rd
Jackson, GA 302331509

Authorized official

Cathy Washington
Billing
📞 7707754622

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #046792GA license #022255 taxonomy 207Q00000X
  • Occupational Therapist
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    GA license #OT002221 taxonomy 225X00000X

Identifiers

TypeValueNotes
05 (GA) 555980929C
05 (GA) 000211549A
05 (GA) 000885024A
01 (GA) GRP4245 MEDICARE GROUP #

Practice context

Multi-provider organization. 3 individual providers 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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