P Praxis·MD
● Active Type 1 · Individual

Tracy Nichols

Counselor·Douglasville, GA· NPI 1255724704 · Enumerated 2015 · 11 years on NPI
Nichols is 1 of 1 counselor providers in Douglasville and 1 of 162 in Georgia.
NPI age
11 years
Enumerated 2015-03-09
Primary specialty
Counselor
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-07-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 162 active counselor providers in Georgia.

NPI age
11 years
↑ 5 yr above median (6 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-03Enumerated in NPPES
2015 2026

Where they practice

Practice location
5300 Brickleberry Way, Suite 103
Douglasville, GA 301344066
📞 6788860999
Mailing address
5300 Brickleberry Way, Suite 103
Douglasville, GA 301344066
📞 6788860999

Specialties

  • Counselor Primary
    Definition to come...
    GA license #11102014 taxonomy 101YP1600X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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