P Praxis·MD
● Active Type 1 · Individual

Ifeoma Veronica Nnoli

Clinic/Center·Stone Mountain, GA· NPI 1609611573 · Enumerated 2024 · 1 years on NPI
Nnoli is 1 of 2 clinic/center providers in Stone Mountain and 1 of 627 in Georgia.
NPI age
1 years
Enumerated 2024-07-01
Primary specialty
Clinic/Center
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-07-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 627 active clinic/center providers in Georgia.

NPI age
1 years
↓ 11 yr below median (12 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-07Enumerated in NPPES
2024 2026

Where they practice

Practice location
500 Springhouse Cir
Stone Mountain, GA 300876741
📞 6786843300
Mailing address
3746 Wood Hollow Way
Snellville, GA 300396039
📞 7708689378

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
    GA license #PT017144 taxonomy 261QP2000X

Practice context

Part of a multi-provider practice. 11 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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