NPI age
3 years
Enumerated 2022-06-29
● Active
Type 1 · Individual
Nupur Mishra
Mishra is 1 of 184 family medicine providers in MacOn and 1 of 5448 in Georgia.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 5448 active family medicine providers in Georgia.
NPI age
3 years
↓ 14 yr below median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Practice location
100 N MacOn St
MacOn, GA 312106563
Mailing address
300 W Oak St Ste 200
Carbondale, IL 629011400
Additional practice locations
1 secondary location on file with NPPES.
Location 2
300 W Oak St
Carbondale, IL 629011400
Specialties
-
Family Medicine PrimaryFamily 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...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.