P Praxis·MD
● Active Type 1 · Individual

Stacie Lynn Ricketts-McCook, NP

Nurse Practitioner·Stockbridge, GA· NPI 1053956045 · Enumerated 2019 · 6 years on NPI
Ricketts-McCook is 1 of 10 nurse practitioner providers in Stockbridge and 1 of 806 in Georgia.
NPI age
6 years
Enumerated 2019-11-13
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, CT
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-11Enumerated in NPPES
2019 2026

Where they practice

Practice location
1133 Eagles Landing Pkwy
Stockbridge, GA 302815085
📞 6786045901
Mailing address
863 N Main Street Ext Ste 200
Wallingford, CT 064922434

Additional practice locations

1 secondary location on file with NPPES.

Location 2
863 N Main Street Ext Ste 200
Wallingford, CT 064922434
📞 2032653280

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN185141 taxonomy 363LA2200X
  • Nurse Practitioner
    Definition to come...
    CT license #10235 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 169 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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