P Praxis·MD
● Active Type 1 · Individual

MRS. Quatina Willis, LPN

Licensed Practical Nurse·Conyers, GA· NPI 1538417886 · Enumerated 2012 · 13 years on NPI
Willis is 1 of 14 licensed practical nurse providers in Conyers and 1 of 1344 in Georgia.
NPI age
13 years
Enumerated 2012-08-16
Primary specialty
Licensed Practical Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1344 active licensed practical nurse providers in Georgia.

NPI age
13 years
↑ 4 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-08Enumerated in NPPES
2012 2026

Where they practice

Practice location
612 Keswick Village Ct Ne
Conyers, GA 300136523
📞 6782814542fax 6782534118
Mailing address
612 Keswick Village Ct Ne
Conyers, GA 300136523
📞 6788005091fax 6786090592

Specialties

  • Licensed Practical Nurse Primary
    An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience,...
    GA license #LPN066567 taxonomy 164W00000X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new licensed practical nurse provider has been added in Conyers 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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