NPI age
6 years
Enumerated 2020-03-10
● Active
Type 1 · Individual
Kathryn Deluise Liccardo, CPNP-PC
Liccardo is 1 of 1 nurse practitioner providers in Buford and 1 of 929 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 929 active nurse practitioner providers in Georgia.
NPI age
6 years
↓ 4 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-03Enumerated in NPPES
2020
2026
Where they practice
Practice location
4095 S Lee St
Buford, GA 305183647
Mailing address
Po Box 658
Gainesville, GA 305030658
Additional practice locations
4 secondary locations on file with NPPES.
Location 2
155 Professional Dr
Baldwin, GA 305114000
Location 3
1270 Friendship Rd
Braselton, GA 305175608
Location 4
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
Location 5
4019 Executive Drive
Oakwood, GA 305663433
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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