P Praxis·MD
● Active Type 1 · Individual

Maya Tiffany Jacqueline King, CPNP

Nurse Practitioner·Atlanta, GA· NPI 1538702170 · Enumerated 2019 · 6 years on NPI
King is 1 of 349 nurse practitioner providers in Atlanta and 1 of 929 in Georgia.
NPI age
6 years
Enumerated 2019-10-27
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-06
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 · 2019 → 2026

2019-10Enumerated in NPPES
2019 2026

Where they practice

Practice location
4503 Ashford Dunwoody Rd Ne
Atlanta, GA 303461509
📞 4702859588fax 4702859589
Mailing address
4503 Ashford Dunwoody Rd Ne
Atlanta, GA 303461509
📞 4702859588fax 4702859589

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3655 Roswell Rd Ne Ste 130-A
Atlanta, GA 303424428
📞 4704721965fax 4704721964

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #290689 taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 6 new nurse practitioner providers have been added in Atlanta 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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