P Praxis·MD
● Active Type 1 · Individual

Marc Anthony Pupo, RN

Registered Nurse·Decatur, GA· NPI 1629007596 · Enumerated 2006 · 19 years on NPI
Pupo is 1 of 5 registered nurse providers in Decatur and 1 of 75 in Georgia.
NPI age
19 years
Enumerated 2006-07-02
Primary specialty
Registered Nurse
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-09-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 75 active registered nurse providers in Georgia.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
2
In the 20% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1670 Clairmont Rd
Decatur, GA 300334004
📞 4043216111
Mailing address
Po Box 2086
Loganville, GA 300521918
📞 3017448553

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN107131 taxonomy 163WE0003X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN107131 taxonomy 163W00000X
  • Registered Nurse
    Definition to come...
    GA license #RN107131 taxonomy 163WP2201X

Identifiers

TypeValueNotes
01 (SC) 81438 REGISTRATION NUMBER
01 (CO) RN127602 REGISTRATION NUMBER
01 (CA) 666998 REGISTRATION NUMBER
01 (FL) RN9219847 REGISTRATION NUMBER
01 (AZ) RN109560 REGISTRATION NUMBER
01 (MI) 4704237121 REGISTRATION NUMBER
01 (GA) RN107131 REGISTRATION NUMBER

Practice context

Part of a multi-provider practice. 1009 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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