P Praxis·MD
● Active Type 1 · Individual

Tammy Bogan

Driver·Jefferson, GA· NPI 1952090698 · Enumerated 2023 · 3 years on NPI
Bogan is 1 of 1 driver providers in Jefferson and 1 of 281 in Georgia.
NPI age
3 years
Enumerated 2023-05-08
Primary specialty
Driver
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 281 active driver providers in Georgia.

NPI age
3 years
≈ at median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-05Enumerated in NPPES
2023 2026

Where they practice

Practice location
2012 Lantern Dr
Jefferson, GA 30549
📞 4042108681
Mailing address
2012 Lantern Dr
Jefferson, GA 30549
📞 7063620801

Specialties

  • Driver Primary
    A person employed to operate a motor vehicle as a carrier of persons or property.
    GA license #041435217 taxonomy 172A00000X

Practice context

Part of a multi-provider practice. 3 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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