P Praxis·MD
● Active Type 1 · Individual

Lisa Kiernan

Nurse Practitioner·Bonaire, GA· NPI 1992509244 · Enumerated 2025 · 1 years on NPI
Kiernan is 1 of 4 nurse practitioner providers in Bonaire and 1 of 3206 in Georgia.
NPI age
1 years
Enumerated 2025-04-03
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
1 years
↓ 7 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2025 → 2026

2025-04Enumerated in NPPES
2025 2026

Where they practice

Practice location
119 Golden Pond Blvd
Bonaire, GA 310054427
📞 4782586636fax 4782586636
Mailing address
119 Golden Pond Blvd
Bonaire, GA 310054427
📞 4782586636fax 4782586636

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN258735 taxonomy 363L00000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    GA license #RN258735 taxonomy 207P00000X

Practice context

Solo or small practice. No 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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