P Praxis·MD
● Active Type 1 · Individual

Mariel Danita Hepburn

Family Medicine·Ashburn, GA· NPI 1851659650 · Enumerated 2012 · 14 years on NPI
Hepburn is 1 of 4 family medicine providers in Ashburn and 1 of 5448 in Georgia.
NPI age
14 years
Enumerated 2012-04-30
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 26% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
611 E Washington Ave
Ashburn, GA 317145315
📞 2295673407fax 2295674467
Mailing address
907 18th St E Ste 400
Tifton, GA 317943684
📞 2293533422

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #074668 taxonomy 207Q00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 2 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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