P Praxis·MD
● Active Type 1 · Individual

Courtney Stallworth, BSN RN IBCLC

Registered Nurse·Lawrenceville, GA· NPI 1417728684 · Enumerated 2024 · 2 years on NPI
Stallworth is 1 of 2 registered nurse providers in Lawrenceville and 1 of 110 in Georgia.
NPI age
2 years
Enumerated 2024-01-15
Primary specialty
Registered Nurse
Licensed in
TN
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 110 active registered nurse providers in Georgia.

NPI age
2 years
≈ at median (3 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-01Enumerated in NPPES
2024 2026

Where they practice

Practice location
113 S. Perry Street, Suite 206 #9313
Lawrenceville, GA 30046
📞 6787128583
Mailing address
113 S. Perry Street, Suite 206 #9313
Lawrenceville, GA 30046
📞 6787128583

Specialties

  • Registered Nurse Primary
    Definition to come...
    TN license #201879 taxonomy 163WL0100X

Practice context

Part of a multi-provider practice. 2 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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