P Praxis·MD
● Active Type 1 · Individual

Tara D Smith, APRN,FNP-C, PMHNP-BC

Nurse Practitioner·Waycross, GA· NPI 1134505118 · Enumerated 2015 · 10 years on NPI
Smith is 1 of 7 nurse practitioner providers in Waycross and 1 of 1622 in Georgia.
NPI age
10 years
Enumerated 2015-08-03
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 6 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-08Enumerated in NPPES
2015 2026

Where they practice

Practice location
1900 Tebeau St
Waycross, GA 315016357
📞 9123386338
Mailing address
724 Pine Needle Rd
Douglas, GA 315356512
📞 9123270263

Additional practice locations

1 secondary location on file with NPPES.

Location 2
724 Pine Needle Rd
Douglas, GA 315356512
📞 9123270263

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN213039 taxonomy 363LP0808X
  • Nurse Practitioner
    Definition to come...
    GA license #RN213039 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 48 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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