P Praxis·MD
● Active Type 1 · Individual

DR. Jevae Leniece Nelson, DDS, DMSC

Dentist·Tucker, GA· NPI 1225527914 · Enumerated 2018 · 8 years on NPI
Nelson is 1 of 21 dentist providers in Tucker and 1 of 2660 in Georgia.
NPI age
8 years
Enumerated 2018-05-08
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-02-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
8 years
↓ 6 yr below median (14 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Practice location
4070 Lavista Rd Unit 102
Tucker, GA 300845228
📞 7705158532
Mailing address
2554 Sibley Dr Ne
Atlanta, GA 303243104
📞 8163040482

Additional practice locations

1 secondary location on file with NPPES.

Location 2
55 Dimock St
Roxbury, MA 021191029
📞 1617442880

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #DN122573 taxonomy 122300000X
  • Dentist
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    MA license #DN1857897 taxonomy 1223G0001X

Practice context

Solo or small practice. No 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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