P Praxis·MD
● Active Type 1 · Individual

MRS. Shakeva Tiller, PMHNP

Nurse Practitioner·Stockbridge, GA· NPI 1255117271 · Enumerated 2023 · 2 years on NPI
Tiller is 1 of 36 nurse practitioner providers in Stockbridge and 1 of 1622 in Georgia.
NPI age
2 years
Enumerated 2023-09-05
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 2 yr below median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
135 Eagles Walk
Stockbridge, GA 302817206
📞 4707264147
Mailing address
Po Box 531
Moreland, GA 302590531

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN287171 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 5 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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