P Praxis·MD
● Active Type 1 · Individual

MRS. Heather Nicole Self, FNP-BC

Nurse Practitioner·MacOn, GA· NPI 1336611714 · Enumerated 2018 · 7 years on NPI
Self is 1 of 148 nurse practitioner providers in MacOn and 1 of 3206 in Georgia.
NPI age
7 years
Enumerated 2018-12-22
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-12Enumerated in NPPES
2018 2026

Where they practice

Practice location
640 Martin Luther King JR Blvd Ste 200
MacOn, GA 312013297
📞 4787455455
Mailing address
338 Ventura Dr
Byron, GA 310088752
📞 4789567886

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN232828 taxonomy 363L00000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN232828 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in MacOn in the last 180 days. See all →
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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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