P Praxis·MD
● Active Type 1 · Individual

Kelly Rose Peronti, AGACNP-BC

Nurse Practitioner·Peachtree City, GA· NPI 1477098564 · Enumerated 2016 · 9 years on NPI
Peronti is 1 of 2 nurse practitioner providers in Peachtree City and 1 of 950 in Georgia.
NPI age
9 years
Enumerated 2016-12-27
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
9 years
↑ 3 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 · 2016 → 2026

2016-12Enumerated in NPPES
2016 2026

Where they practice

Practice location
401 Doubletrace Ln
Peachtree City, GA 302691822
📞 7703447821
Mailing address
80 Jesse Hill JR Dr Se
Atlanta, GA 303033031

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN199128 taxonomy 363LA2100X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    GA license #RN199128 taxonomy 390200000X

Practice context

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

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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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