P Praxis·MD
● Active Type 1 · Individual

Nicole Forrester Rucker, FNP-BC

Nurse Practitioner·Moultrie, GA· NPI 1467217232 · Enumerated 2024 · 2 years on NPI
Rucker is 1 of 50 nurse practitioner providers in Moultrie and 1 of 8826 in Georgia.
NPI age
2 years
Enumerated 2024-02-20
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-02Enumerated in NPPES
2024 2026

Where they practice

Practice location
3131 S Main St
Moultrie, GA 317686925
📞 2298903418
Mailing address
165 E Walton St
Baconton, GA 317167705
📞 2293444497

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN271979 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 122 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in Moultrie 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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