P Praxis·MD
● Active Type 1 · Individual

MS. Dorothy Delisfort-Crisostomo, FNP-C

Nurse Practitioner·Tucker, GA· NPI 1013450816 · Enumerated 2016 · 9 years on NPI
Delisfort-Crisostomo is 1 of 13 nurse practitioner providers in Tucker and 1 of 1622 in Georgia.
NPI age
9 years
Enumerated 2016-11-28
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
9 years
↑ 5 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-11Enumerated in NPPES
2016 2026

Where they practice

Practice location
4228 1st Ave Ste 1
Tucker, GA 300844426
📞 8335834778fax 8335834779
Mailing address
4228 1st Ave Ste 1
Tucker, GA 300844426
📞 8335834778fax 8335834779

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN141244 taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    GA license #RN141244 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 3 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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