P Praxis·MD
● Active Type 1 · Individual

Selena Fuller, NP

Nurse Practitioner·Kennesaw, GA· NPI 1598102733 · Enumerated 2013 · 12 years on NPI
Fuller is 1 of 83 nurse practitioner providers in Kennesaw and 1 of 8826 in Georgia.
NPI age
12 years
Enumerated 2013-05-29
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-28
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
12 years
↑ 5 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
2779 Cobb Pkwy Nw
Kennesaw, GA 301523437
📞 6787321500
Mailing address
2779 Cobb Pkwy Nw
Kennesaw, GA 301523437

Additional practice locations

1 secondary location on file with NPPES.

Location 2
181 South Clayton Street
Lawrenceville, GA 30045
📞 8668253227

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN172405 taxonomy 363LF0000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #RN172405 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Kennesaw 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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