Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Altamaha Primary Care, LLC

Organization Primary Care Nurse Practitioner · NPI 1093472896

Altamaha Primary Care, LLC is a Primary Care Nurse Practitioner in Jesup, Georgia. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

248 NE Broad St
Jesup, GA 31546-4371
Phone: (912) 559-2696
Fax: (912) 559-2420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1093472896
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Kirk — Owner/President · (912) 559-2420
NPI enumeratedNovember 29, 2021
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing address248 Ne Broad St, Jesup, GA 31546-4371