P Praxis·MD
● Active Type 1 · Individual

Linda Marie Street, M.D.

Obstetrics & Gynecology·Augusta, GA· NPI 1962630830 · Enumerated 2009 · 16 years on NPI
Street is 1 of 7 obstetrics & gynecology providers in Augusta and 1 of 93 in Georgia.
NPI age
16 years
Enumerated 2009-06-30
Primary specialty
Obstetrics & Gynecology
Plus 4 subspecialties
Licensed in
GA, SC, NC
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 93 active obstetrics & gynecology providers in Georgia.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
3 states
Top 73% — 26% of peers are multi-state
Subspecialties
1
In the 44% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
1120 15th St
Augusta, GA 309120004
📞 7067214959
Mailing address
3624 J Dewey Gray Cir Ste 308
Augusta, GA 309096580
📞 7069227670fax 7068638175

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3624 J Dewey Gray Cir Ste 308
Augusta, GA 309096580
📞 7069227670fax 7068638175

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their...
    GA license #75544SC license #32026NC license #2013-00501 taxonomy 207VM0101X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    SC license #32026GA license #75544 taxonomy 207V00000X

Identifiers

TypeValueNotes
01 (NC) 5632783 AETNA
01 (NC) 179TK BCBS
05 (NC) 1962630830
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1593 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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