P Praxis·MD
● Active Type 1 · Individual

Taheisha Rena Deese, NP

Nurse Practitioner·Fayetteville, GA· NPI 1205516754 · Enumerated 2023 · 2 years on NPI
Deese is 1 of 51 nurse practitioner providers in Fayetteville and 1 of 3206 in Georgia.
NPI age
2 years
Enumerated 2023-07-20
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-07Enumerated in NPPES
2023 2026

Where they practice

Practice location
1265 Highway 54 W Ste 305
Fayetteville, GA 302144537
📞 7707195660
Mailing address
155 Buckeye Ln
Fayetteville, GA 302141702
📞 2294258130

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
155 Buckeye Ln
Fayetteville, GA 302141702
📞 2294258130
Location 3
155 Buckeye Ln
Fayetteville, GA 302141702
📞 2294258130

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN165350 taxonomy 363L00000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #RN165350 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 2 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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