P Praxis·MD
● Active Type 1 · Individual

Grace Tamu Fomunung, NURSE PRACTITIONER

Nurse Practitioner·Dacula, GA· NPI 1679028575 · Enumerated 2016 · 9 years on NPI
Fomunung is 1 of 17 nurse practitioner providers in Dacula and 1 of 1622 in Georgia.
NPI age
9 years
Enumerated 2016-08-20
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-11-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
9 years
↑ 5 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Practice location
3206 Thimbleberry Trl
Dacula, GA 300197299
📞 4048197338
Mailing address
3206 Thimbleberry Trl
Dacula, GA 300197299
📞 4048197338

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN201867 taxonomy 363LP0808X
  • 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 #RN201867 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 4 new nurse practitioner providers have been added in Dacula 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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