P Praxis·MD
● Active Type 1 · Individual

Amanda Gayle Petty, APRN

Nurse Practitioner·Waycross, GA· NPI 1174301386 · Enumerated 2023 · 2 years on NPI
Petty is 1 of 1 nurse practitioner providers in Waycross and 1 of 383 in Georgia.
NPI age
2 years
Enumerated 2023-09-19
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 383 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 3 yr below median (5 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
3620 Harris Rd
Waycross, GA 315030311
📞 9122874856
Mailing address
156 Elizabeth St
Folkston, GA 315372926
📞 9123909537

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN222648 taxonomy 363LP2300X

Practice context

Solo or small practice. No 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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