P Praxis·MD
● Active Type 1 · Individual

Greggory Theotis Kent, SFIDC

Military Health Care Provider·Lyons, GA· NPI 1700425568 · Enumerated 2019 · 6 years on NPI
Kent is 1 of 1 military health care provider providers in Lyons and 1 of 40 in Georgia.
NPI age
6 years
Enumerated 2019-12-26
Primary specialty
Military Health Care Provider
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-12-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 40 active military health care provider providers in Georgia.

NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-12Enumerated in NPPES
2019 2026

Where they practice

Practice location
223 E Grady Ave
Lyons, GA 304361509
📞 0000000000
Mailing address
223 E Grady Ave
Lyons, GA 304361509

Specialties

  • Military Health Care Provider Primary
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    taxonomy 171000000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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