P Praxis·MD
● Active Type 1 · Individual

Jordan Leigh Thackston, FNP-C

Nurse Practitioner·Winder, GA· NPI 1194533711 · Enumerated 2024 · 1 years on NPI
Thackston is 1 of 25 nurse practitioner providers in Winder and 1 of 8826 in Georgia.
NPI age
1 years
Enumerated 2024-12-28
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-12-28
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
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-12Enumerated in NPPES
2024 2026

Where they practice

Practice location
24 Amherst Dr
Winder, GA 306807463
📞 4709004368
Mailing address
24 Amherst Dr
Winder, GA 306807463
📞 4709004368

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
4038 Winder Hwy
Flowery Branch, GA 305423021
📞 6786932364
Location 3
2129 Friendship Rd
Buford, GA 305192600
📞 7702092787

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN287787 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Winder 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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