P Praxis·MD
● Active Type 1 · Individual

MS. Tiffany Mike, NP

Nurse Practitioner·MacOn, GA· NPI 1205659562 · Enumerated 2024 · 1 years on NPI
Mike is 1 of 148 nurse practitioner providers in MacOn and 1 of 3206 in Georgia.
NPI age
1 years
Enumerated 2024-11-05
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
1 years
↓ 7 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 · 2024 → 2026

2024-11Enumerated in NPPES
2024 2026

Where they practice

Practice location
640 Martin Luther King JR Blvd Ste 200
MacOn, GA 312013297
📞 4783341220
Mailing address
640 Martin Luther King JR Blvd Ste 200
MacOn, GA 312013297
📞 4787455455

Additional practice locations

1 secondary location on file with NPPES.

Location 2
309 Osigian Blvd
Warner Robins, GA 310888953
📞 4787455455

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 #RN146927 taxonomy 363L00000X
  • Nurse Practitioner
    Definition to come...
    GA license #RN146927 taxonomy 363LG0600X

Practice context

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

Recently enumerated nearby: 3 new nurse practitioner providers have been added in MacOn 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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