P Praxis·MD
● Active Type 1 · Individual

Kadasha Fairclough, RN

Nurse Anesthetist, Certified Registered·Loganville, GA· NPI 1184260275 · Enumerated 2019 · 6 years on NPI
Fairclough is 1 of 2 nurse anesthetist, certified registered providers in Loganville and 1 of 2157 in Georgia.
NPI age
6 years
Enumerated 2019-11-23
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
VA, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2157 active nurse anesthetist, certified registered providers in Georgia.

NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-11Enumerated in NPPES
2019 2026

Where they practice

Practice location
1340 Alexander Xing
Loganville, GA 300523985
📞 4049169226
Mailing address
1340 Alexander Xing
Loganville, GA 300523985
📞 4049169226

Additional practice locations

1 secondary location on file with NPPES.

Location 2
777 Hemlock St
MacOn, GA 312012102
📞 4786331000

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    VA license #0024190568 taxonomy 367500000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN286337 taxonomy 163W00000X

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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