P Praxis·MD
● Active Type 1 · Individual

Evon Smith

Registered Nurse·Fayetteville, GA· NPI 1679942098 · Enumerated 2015 · 10 years on NPI
Smith is 1 of 3 registered nurse providers in Fayetteville and 1 of 217 in Georgia.
NPI age
10 years
Enumerated 2015-09-15
Primary specialty
Registered Nurse
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-09-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 217 active registered nurse providers in Georgia.

NPI age
10 years
↓ 2 yr below median (12 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Practice location
105 Kellie Ln
Fayetteville, GA 302143817
📞 4044528275
Mailing address
105 Kellie Ln
Fayetteville, GA 302143817
📞 4044528275

Specialties

  • Registered Nurse Primary
    Definition to come...
    GA license #RN117217 taxonomy 163WC1500X

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: 2 new registered nurse providers have been added in Fayetteville 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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