P Praxis·MD
● Active Type 1 · Individual

MRS. Kimberly Denise Fedrick, LPN

Licensed Practical Nurse·Augusta, GA· NPI 1801059589 · Enumerated 2008 · 17 years on NPI
Fedrick is 1 of 33 licensed practical nurse providers in Augusta and 1 of 1344 in Georgia.
NPI age
17 years
Enumerated 2008-07-03
Primary specialty
Licensed Practical Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-07-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1344 active licensed practical nurse providers in Georgia.

NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
300 W Hospital Rd
Augusta, GA 309055741
📞 7067877471
Mailing address
2503 Inverness Dr
Hephzibah, GA 308155845
📞 7067984658

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    GA license #062344 taxonomy 164W00000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 7 new licensed practical nurse providers have been added in Augusta in the last 180 days. See all →
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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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