P Praxis·MD
● Active Type 1 · Individual

Jennifer Lassiter, ACNPC-AG

Nurse Practitioner·Lizella, GA· NPI 1679170740 · Enumerated 2020 · 5 years on NPI
Lassiter is 1 of 1 nurse practitioner providers in Lizella and 1 of 950 in Georgia.
NPI age
5 years
Enumerated 2020-10-02
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-02
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
5 years
≈ at median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-10Enumerated in NPPES
2020 2026

Where they practice

Practice location
4116 Holley Rd.
Lizella, GA 31052
📞 4788082945
Mailing address
Po Box 759
Lizella, GA 310520759
📞 4788082945

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN164928 taxonomy 363LA2100X
  • Nurse Practitioner
    Definition to come...
    GA license #RN164928 taxonomy 363LG0600X

Practice context

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

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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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