P Praxis·MD
● Active Type 1 · Individual

Jerome Ndikumukiza

Technician·Clarkston, GA· NPI 1881494490 · Enumerated 2025 · 1 years on NPI
Ndikumukiza is 1 of 1 technician providers in Clarkston and 1 of 170 in Georgia.
NPI age
1 years
Enumerated 2025-03-14
Primary specialty
Technician
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-03-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 170 active technician providers in Georgia.

NPI age
1 years
↓ 3 yr below median (4 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-03Enumerated in NPPES
2025 2026

Where they practice

Practice location
3938 E Ponce De Leon Ave Ste D
Clarkston, GA 300218104
📞 4049642147
Mailing address
3938 E Ponce De Leon Ave Ste D
Clarkston, GA 300218104
📞 4049642147

Specialties

  • Technician Primary
    An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and...
    taxonomy 3747P1801X

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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