P Praxis·MD
● Active Type 2 · Organization

G

Nurse Practitioner·Marietta, GA· NPI 1215476304 · Enumerated 2017 · 9 years on NPI
G is 1 of 950 nurse practitioner organizations in Georgia.
NPI age
9 years
Enumerated 2017-02-22
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Administrator
Last NPPES update
2017-02-22
Source: monthly bulk 2026-05

How this organization compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
9 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-02Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
55 Whitcher St Ne
Marietta, GA 300601155
📞 7704277389fax 7704271492
Mailing address
55 Whitcher St Ne
Marietta, GA 300601155
📞 7704277389fax 7704271492

Authorized official

Marietta Miller
Administrator
📞 8673881577

Individual providers at this organization

20 individual providers on file at this primary practice address.

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN209845 taxonomy 363LA2100X

Identifiers

TypeValueNotes
01 (GA) RN209845 RN LICENSE

Practice context

Multi-provider organization. 20 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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