P Praxis·MD
● Active Type 1 · Individual

Lanie Ann Bradford

Physician Assistant·Colquitt, GA· NPI 1851013650 · Enumerated 2022 · 3 years on NPI
Bradford is 1 of 1 physician assistant providers in Colquitt and 1 of 4616 in Georgia.
NPI age
3 years
Enumerated 2022-09-19
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4616 active physician assistant providers in Georgia.

NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-09Enumerated in NPPES
2022 2026

Where they practice

Practice location
385 Thompson Town Rd
Colquitt, GA 398375231
📞 2294168243
Mailing address
385 Thompson Town Rd
Colquitt, GA 398375231
📞 2294168243

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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