P Praxis·MD
● Active Type 1 · Individual

Nicole Shepard, AG-ACNP

Nurse Practitioner·Athens, GA· NPI 1043989064 · Enumerated 2021 · 4 years on NPI
Shepard is 1 of 18 nurse practitioner providers in Athens and 1 of 950 in Georgia.
NPI age
4 years
Enumerated 2021-09-13
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
4 years
↓ 2 yr below median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
3320 Old Jefferson Rd Ste 200a
Athens, GA 306071478
📞 7065495560
Mailing address
3320 Old Jefferson Rd Ste 200a
Athens, GA 306071478
📞 7065495560

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1199 Prince Ave
Athens, GA 306062797
📞 7064757000

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #305022 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 8 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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