P Praxis·MD
● Active Type 1 · Individual

Tara Buckhalter, CPNP

Nurse Practitioner·Atlanta, GA· NPI 1669071866 · Enumerated 2020 · 5 years on NPI
Buckhalter is 1 of 349 nurse practitioner providers in Atlanta and 1 of 929 in Georgia.
NPI age
5 years
Enumerated 2020-10-20
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
5 years
↓ 5 yr below median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-10Enumerated in NPPES
2020 2026

Where they practice

Practice location
1150 Lake Hearn Drive
Atlanta, GA 30342
📞 9545946520
Mailing address
4263 Glengary Drive Ne
Atlanta, GA 30342
📞 9545946520

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1405 Clifton Rd Ne
Atlanta, GA 303221060
📞 4047856330

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN212433 taxonomy 363LP0200X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 6 new nurse practitioner providers have been added in Atlanta in the last 180 days. See all →
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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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