NPI age
5 years
Enumerated 2020-05-27
● Active
Type 1 · Individual
Faniska Massillon
Massillon is 1 of 80 nurse practitioner providers in Norcross and 1 of 8826 in Georgia.
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
NY, CA, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-26
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
5 years
↓ 2 yr below median (7 yr)
State licenses
3 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-05Enumerated in NPPES
2020
2026
Where they practice
Practice location
Po Box 920095
Norcross, GA 300100095
Mailing address
Po Box 920095
Norcross, GA 300100095
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2100 Riveredge Pkwy
Atlanta, GA 303284693
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Norcross in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.