P Praxis·MD
● Active Type 1 · Individual

Amanda Faye Tison, APRN, FNP-C

Nurse Practitioner·Locust Grove, GA· NPI 1164088977 · Enumerated 2019 · 7 years on NPI
Tison is 1 of 19 nurse practitioner providers in Locust Grove and 1 of 8826 in Georgia.
NPI age
7 years
Enumerated 2019-05-16
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-12-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
7 years
≈ at median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
4837 Bill Gardner Pkwy Ste B
Locust Grove, GA 302483734
📞 6788001602
Mailing address
72 Bolingview Rd
Juliette, GA 310463932
📞 9045071221

Additional practice locations

1 secondary location on file with NPPES.

Location 2
542325 Us Highway 1
Callahan, FL 320116496
📞 9045071221

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #GAA-NP000337FL license #11002465 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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