P Praxis·MD
● Active Type 1 · Individual

Stephanie Amanda Carroll, NP

Nurse Practitioner·Decatur, GA· NPI 1124586029 · Enumerated 2019 · 7 years on NPI
Carroll is 1 of 23 nurse practitioner providers in Decatur and 1 of 806 in Georgia.
NPI age
7 years
Enumerated 2019-03-09
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
7 years
↓ 4 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
1670 Clairmont Rd
Decatur, GA 300334004
📞 4043216111
Mailing address
3939 Lavista Rd Ste E
Tucker, GA 300844847

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1580 Agape Way
Decatur, GA 300351341
📞 9177048165

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN216330 taxonomy 363LA2200X
  • Nurse Practitioner
    Definition to come...
    GA license #RN216330 taxonomy 363LP2300X

Practice context

Part of a multi-provider practice. 1009 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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