P Praxis·MD
● Active Type 1 · Individual

MISS Stacy Kay Whitehead, FNP-C

Nurse Practitioner·Dalton, GA· NPI 1275969081 · Enumerated 2013 · 12 years on NPI
Whitehead is 1 of 112 nurse practitioner providers in Dalton and 1 of 8826 in Georgia.
NPI age
12 years
Enumerated 2013-09-25
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
WI, GA, TN
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-11-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
12 years
↑ 5 yr above median (7 yr)
State licenses
3 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
1411 Chattanooga Avenue, Suite 101
Dalton, GA 30720
📞 7062720272fax 7062720276
Mailing address
1411 Chattanooga Avenue, Suite 101
Dalton, GA 30720
📞 7062720272fax 7062720276

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    WI license #10659GA license #218472GA license #RN218472TN license #17937 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (GA) 003158725D
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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