P Praxis·MD
● Active Type 1 · Individual

MS. Lisa Schlageter Stadalius, APRN

Nurse Practitioner·Kennesaw, GA· NPI 1104019801 · Enumerated 2007 · 18 years on NPI
Stadalius is 1 of 3 nurse practitioner providers in Kennesaw and 1 of 393 in Georgia.
NPI age
18 years
Enumerated 2007-08-26
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-08-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 393 active nurse practitioner providers in Georgia.

NPI age
18 years
↑ 7 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Practice location
1000 Chastain Rd Nw, 52
Kennesaw, GA 301445588
📞 7704236642
Mailing address
2603 Canopy Ln
Marietta, GA 300661542
📞 7705919389

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN187814 NP taxonomy 363LW0102X

Practice context

Part of a multi-provider practice. 11 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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