P Praxis·MD
● Active Type 1 · Individual

MS. Mary Gump Fly, ACNP

Nurse Practitioner·Augusta, GA· NPI 1629167580 · Enumerated 2006 · 19 years on NPI
Fly is 1 of 50 nurse practitioner providers in Augusta and 1 of 950 in Georgia.
NPI age
19 years
Enumerated 2006-10-11
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
19 years
↑ 13 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1127 Druid Park Ave
Augusta, GA 309045849
📞 7063646485
Mailing address
1231 Glenn Ave
Augusta, GA 309044615
📞 7067361731

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN163789 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 950 Nurse Practitioner providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related