P Praxis·MD
● Active Type 1 · Individual

Tammy Rena Taylor

Licensed Practical Nurse·Fayetteville, GA· NPI 1023715505 · Enumerated 2023 · 3 years on NPI
Taylor is 1 of 7 licensed practical nurse providers in Fayetteville and 1 of 1344 in Georgia.
NPI age
3 years
Enumerated 2023-02-14
Primary specialty
Licensed Practical Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1344 active licensed practical nurse providers in Georgia.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Practice location
110 Brandywine Blvd
Fayetteville, GA 302141500
📞 7704612928
Mailing address
6302 Lamp Post Pl
College Park, GA 303498830
📞 7606725944

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    GA license #LPN078353 taxonomy 164W00000X

Practice context

Part of a multi-provider practice. 11 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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