P Praxis·MD
● Active Type 1 · Individual

Edwige Goby Konwo-Tayo

Nurse Practitioner·Stone Mountain, GA· NPI 1538646526 · Enumerated 2018 · 7 years on NPI
Konwo-Tayo is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
NPI age
7 years
Enumerated 2018-07-23
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-12-30
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
7 years
≈ at median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
1183 S Hairston Rd Ste A
Stone Mountain, GA 300882796
📞 4042968858
Mailing address
814 Lazarus Dr
Woodstock, GA 301885100
📞 4048256874

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN220667 taxonomy 363LF0000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    GA license #RN220667 taxonomy 207P00000X

Practice context

Part of a multi-provider practice. 2 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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