P Praxis·MD
● Active Type 1 · Individual

MRS. Shannon Slocumb Ethridge, FNP-C

Nurse Practitioner·MacOn, GA· NPI 1033527254 · Enumerated 2014 · 11 years on NPI
Ethridge is 1 of 272 nurse practitioner providers in MacOn and 1 of 8826 in Georgia.
NPI age
11 years
Enumerated 2014-07-31
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Practice location
3448 Vineville Ave Bldg B
MacOn, GA 312041867
📞 4784050045
Mailing address
3448 Vineville Ave Bldg B
MacOn, GA 312041867

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN198355 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in MacOn in the last 180 days. See all →
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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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