P Praxis·MD
● Active Type 2 · Organization

Antonio Luis, M.d., Llc

Clinic/Center·Milledgeville, GA· NPI 1912627126 · Enumerated 2022 · 3 years on NPI
Antonio Luis, M.d., Llc is 1 of 662 clinic/center organizations in Georgia.
NPI age
3 years
Enumerated 2022-08-29
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Braddy
Practice Administrator
Last NPPES update
2022-08-30
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-08Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
1013 Fernwood Dr Ste C
Milledgeville, GA 310615428
📞 4782516924fax 4782953644
Mailing address
1013 Fernwood Dr Ste C
Milledgeville, GA 310615428
📞 4782516924fax 4782953644

Authorized official

Dennis Braddy
Practice Administrator
📞 4782950526

Individual providers at this organization

1 individual provider on file at this primary practice address.

  • Susan Steele, ADVANCED PRACTICE NP Nurse Practitioner NPI 1144895350

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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