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HomeProvidersBENTLEY MAIAVA PNP

Nurse Practitioner, Pediatrics

BENTLEY MAIAVA PNP

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1316578578 · enumerated 2020-01-27 · record updated 2024-06-09. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Addresses and phones

Practice location 1205 US HIGHWAY 19 S, LEESBURG, GA, 31763-4878 (229) 759-7028 Google Maps Apple Maps OpenStreetMap
Mailing address 2210 HOLLY SPRINGS PKWY UNIT 1305, HOLLY SPRINGS, GA, 30142-1760 (770) 990-7382 Google Maps Apple Maps OpenStreetMap

Specialties

Nurse Practitioner, Pediatrics 363LP0200X · Primary · License RN249087 GA

In this directory

GA Lee County Leesburg Nurse Practitioner, Pediatrics

Locations and evidence

Practice location LEESBURG, GA, 317634878
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.