P Praxis·MD
● Active Type 2 · Organization

Bulloch Pediatrics Group, Llc

Nurse Practitioner·Statesboro, GA· NPI 1720341514 · Enumerated 2012 · 13 years on NPI
Bulloch Pediatrics Group, Llc is 1 of 929 nurse practitioner organizations in Georgia.
NPI age
13 years
Enumerated 2012-06-18
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hart
Practice Manager
Last NPPES update
2012-06-18
Source: monthly bulk 2026-05

How this organization compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
1497 Fair Rd, Suite 200
Statesboro, GA 304580822
📞 9128714847fax 9128715562
Mailing address
1497 Fair Rd, Suite 200
Statesboro, GA 304580822
📞 9128714847fax 9128715562

Authorized official

Kristen T Hart, MHSA
Practice Manager
📞 9128714847

Individual providers at this organization

8 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN104429 taxonomy 363LP0200X

Practice context

Multi-provider organization. 8 individual providers on file at this primary address.

Provyx · Custom healthcare lists

Need all 929 Nurse Practitioner providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related