P Praxis·MD
● Active Type 1 · Individual

Larissa Davis

Nurse Practitioner·Douglas, GA· NPI 1063832731 · Enumerated 2014 · 12 years on NPI
Davis is 1 of 63 nurse practitioner providers in Douglas and 1 of 8826 in Georgia.
NPI age
12 years
Enumerated 2014-04-22
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-09-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
12 years
↑ 5 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

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
200 Doctors Dr, Ste 201
Douglas, GA 315332201
📞 9123849460fax 9123931239
Mailing address
1100 Ward St Ext W
Douglas, GA 315341902

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN197160 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (GA) 003145835A
01 (GA) RN197160 MEDICAL LICENSE

Practice context

Part of a multi-provider practice. 16 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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