P Praxis·MD
● Active Type 1 · Individual

Jennifer Johnson Slade, CPNP-PC

Nurse Practitioner·MacOn, GA· NPI 1013147503 · Enumerated 2009 · 16 years on NPI
Slade is 1 of 24 nurse practitioner providers in MacOn and 1 of 929 in Georgia.
NPI age
16 years
Enumerated 2009-07-20
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
16 years
↑ 6 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-07Enumerated in NPPES
2009 2026

Where they practice

Practice location
1508 Hardeman Ave Ste B
MacOn, GA 312011471
📞 4787417337
Mailing address
1508 Hardeman Ave Ste B
MacOn, GA 312011471
📞 4787417337

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN117428 NP taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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