P Praxis·MD
● Active Type 1 · Individual

Justin Vassell

Registered Nurse·College Park, GA· NPI 1114575859 · Enumerated 2019 · 6 years on NPI
Vassell is 1 of 2 registered nurse providers in College Park and 1 of 223 in Georgia.
NPI age
6 years
Enumerated 2019-08-27
Primary specialty
Registered Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-08-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 223 active registered nurse providers in Georgia.

NPI age
6 years
↓ 2 yr below median (8 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
1903 Phoenix Boulevard, Suite 200
College Park, GA 30349
📞 6783359010fax 6782299906
Mailing address
1903 Phoenix Blvd Ste 200
College Park, GA 303495700
📞 6783359010fax 6782299906

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN169074 taxonomy 163WP0808X

Identifiers

TypeValueNotes
01 (GA) 1881848174 PSYCHIATRY

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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