P Praxis·MD
● Active Type 1 · Individual

Kelly Tickle, PCNS-BC, PPCNP-BC

Nurse Practitioner·Atlanta, GA· NPI 1417379538 · Enumerated 2014 · 12 years on NPI
Tickle is 1 of 349 nurse practitioner providers in Atlanta and 1 of 929 in Georgia.
NPI age
12 years
Enumerated 2014-01-08
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
12 years
↑ 2 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
2
In the 19% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-01Enumerated in NPPES
2014 2026

Where they practice

Practice location
5455 Meridian Marks Rd Ste 400
Atlanta, GA 303424723
📞 4047853240fax 4047853600
Mailing address
5455 Meridian Marks Rd Ste 400
Atlanta, GA 303424723
📞 4047853240fax 4047853600

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN-NP228738 taxonomy 363LP0200X
  • Clinical Nurse Specialist
    Definition to come...
    GA license #APRN-CNS228738 taxonomy 364SP0200X
  • 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 #RN228738 taxonomy 163W00000X

Practice context

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

Recently enumerated nearby: 6 new nurse practitioner providers have been added in Atlanta 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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