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

Pierre O Raymond Sr.

Individual provider Family Nurse Practitioner · NPI 1417750613

Pierre O Raymond Sr. is a Nurse Practitioner in Rockmart, Georgia. Qualified in 2021, 5 years ago. Practices with Avicenna Physician Services Inc, a 14-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2025

Practice location Address checks out

130 Forsyth Lake Rd
Rockmart, GA 30153-4206
Phone: (504) 462-3638
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN267840 (GA)

Record details

NPI number1417750613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address130 Forsyth Lake Rd, Rockmart, GA 30153-4206

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Avicenna Physician Services Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockmart