P Praxis·MD
● Active Type 1 · Individual

Jacqueline Bays Runyan

Counselor·Lawrenceville, GA· NPI 1053677856 · Enumerated 2012 · 14 years on NPI
Runyan is 1 of 183 counselor providers in Lawrenceville and 1 of 7547 in Georgia.
NPI age
14 years
Enumerated 2012-04-05
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 7547 active counselor providers in Georgia.

NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-04Enumerated in NPPES
2012 2026

Where they practice

Practice location
500 Medical Center Blvd, Suite 290
Lawrenceville, GA 300468708
📞 7709625100fax 7709627006
Mailing address
500 Medical Center Blvd, Suite 290
Lawrenceville, GA 300468708
📞 7709625100fax 7709627006

Specialties

  • Counselor Primary
    Definition to come...
    GA license #0555526 taxonomy 101YP2500X

Practice context

Part of a multi-provider practice. 35 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new counselor providers have been added in Lawrenceville 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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