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.

Provyx · Custom healthcare lists

Need all 2726 Pediatrics providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

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.

Related