P Praxis·MD
● Active Type 1 · Individual

Berhanu Ejigu Kededa, NP-C

Nurse Practitioner·Tucker, GA· NPI 1184994105 · Enumerated 2012 · 14 years on NPI
Kededa is 1 of 33 nurse practitioner providers in Tucker and 1 of 8826 in Georgia.
NPI age
14 years
Enumerated 2012-01-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Practice location
5576 Princeton Run Trl
Tucker, GA 300848463
📞 6787938808
Mailing address
5576 Princeton Run Trl
Tucker, GA 300848463
📞 6787938808

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN152429 taxonomy 363LF0000X
  • Registered Nurse
    Definition to come...
    OR license #202205124RN taxonomy 163WH0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Tucker in the last 180 days. See all →
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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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