P Praxis·MD
● Active Type 1 · Individual

DR. Jessica Agnes Kobleur, M.D.

Pediatrics·Gainesville, GA· NPI 1790982361 · Enumerated 2007 · 18 years on NPI
Kobleur is 1 of 44 pediatrics providers in Gainesville and 1 of 2726 in Georgia.
NPI age
18 years
Enumerated 2007-06-28
Primary specialty
Pediatrics
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-03-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2726 active pediatrics providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
State licenses
2 states
Top 89% — 10% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
743 Spring St Ne
Gainesville, GA 305013715
📞 7705353611fax 7705357092
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7705336511fax 7705334786

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
4700 Waters Ave
Savannah, GA 314046220
📞 9123508180fax 9123505697
Location 3
1400 River Pl
Braselton, GA 305175600
📞 7705353611fax 7705357092

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    GA license #064662SC license #29977 taxonomy 208000000X

Identifiers

TypeValueNotes
05 (SC) GA1079
05 (GA) 731872400D
01 (GA) P01069469 RAILROAD MEDICARE
05 (GA) 731872400B
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.

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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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