P Praxis·MD
● Active Type 1 · Individual

MS. Miranda Fordham Blais, WHNP-BC

Nurse Practitioner·Brookhaven, GA· NPI 1639607625 · Enumerated 2017 · 8 years on NPI
Blais is 1 of 2 nurse practitioner providers in Brookhaven and 1 of 393 in Georgia.
NPI age
8 years
Enumerated 2017-06-02
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 393 active nurse practitioner providers in Georgia.

NPI age
8 years
↓ 3 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-06Enumerated in NPPES
2017 2026

Where they practice

Practice location
3369 Buford Hwy Ne Ste 810a
Brookhaven, GA 303291742
📞 4043214692
Mailing address
491 Park Valley Dr Nw
Atlanta, GA 303186251
📞 7062486020

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN216488 taxonomy 363LW0102X
  • Obstetrics & Gynecology
    An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
    GA license #RN216488 taxonomy 207V00000X

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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