P Praxis·MD
● Active Type 1 · Individual

Gwendolyn Abe De Leon

Registered Nurse·La Fayette, GA· NPI 1083405773 · Enumerated 2025 · 1 years on NPI
De Leon is 1 of 1 registered nurse providers in La Fayette and 1 of 4 in Georgia.
NPI age
1 years
Enumerated 2025-05-13
Primary specialty
Registered Nurse
Licensed in
NY
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4 active registered nurse providers in Georgia.

NPI age
1 years
↓ 9 yr below median (10 yr)
State licenses
1 state
25% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Practice location
205 Roadrunner Blvd
La Fayette, GA 307282161
📞 7066384664
Mailing address
7204 Fairbanks Rd
Hixson, TN 373432409

Specialties

  • Registered Nurse Primary
    Definition to come...
    NY license #615507 taxonomy 163WR0400X

Practice context

Part of a multi-provider practice. 4 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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