P Praxis·MD
● Active Type 1 · Individual

Ebony Gardner

Clinic/Center·McDonough, GA· NPI 1821880071 · Enumerated 2025 · 1 years on NPI
Gardner is 1 of 3 clinic/center providers in McDonough and 1 of 205 in Georgia.
NPI age
1 years
Enumerated 2025-05-21
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 205 active clinic/center providers in Georgia.

NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Practice location
309 MacOn St
McDonough, GA 302533515
📞 4047720905
Mailing address
309 MacOn St
McDonough, GA 302533515
📞 4047720905

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #ADC000352 taxonomy 261QA0600X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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