P Praxis·MD
● Active Type 1 · Individual

Lacey Foster Faircloth

Nurse Practitioner·MacOn, GA· NPI 1619565827 · Enumerated 2021 · 5 years on NPI
Faircloth is 1 of 3 nurse practitioner providers in MacOn and 1 of 85 in Georgia.
NPI age
5 years
Enumerated 2021-01-04
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-01-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 85 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 6 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-01Enumerated in NPPES
2021 2026

Where they practice

Practice location
2885 Nowell Dr
MacOn, GA 312166347
📞 4786331299
Mailing address
2885 Nowell Dr
MacOn, GA 312166347

Additional practice locations

1 secondary location on file with NPPES.

Location 2
888 Pine St
MacOn, GA 312012109
📞 4786331299

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN222538 taxonomy 363LN0005X

Practice context

Solo or small practice. No 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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