P Praxis·MD
● Active Type 1 · Individual

Nicole T Moulder, ACNP

Nurse Practitioner·Gainesville, GA· NPI 1467896274 · Enumerated 2013 · 13 years on NPI
Moulder is 1 of 77 nurse practitioner providers in Gainesville and 1 of 950 in Georgia.
NPI age
13 years
Enumerated 2013-04-23
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
13 years
↑ 7 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-04Enumerated in NPPES
2013 2026

Where they practice

Practice location
743 Spring St Ne
Gainesville, GA 305013715
📞 7702193202fax 7702193209
Mailing address
Po Box 742616
Atlanta, GA 303742616
📞 7702198420

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
743 Spring St Ne
Gainesville, GA 305013715
📞 7702199000fax 7702198440
Location 3
743 Spring St Ne
Gainesville, GA 305013715
📞 7702199000fax 7702198440

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN203629 taxonomy 363LA2100X
  • Nurse Practitioner
    Definition to come...
    GA license #RN203629 taxonomy 363LC0200X

Practice context

Part of a multi-provider practice. 689 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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