P Praxis·MD
● Active Type 1 · Individual

MRS. Shirley Mike Oates, CERTIFIED PEDIATRIC

Nurse Practitioner·Vidalia, GA· NPI 1710068770 · Enumerated 2006 · 19 years on NPI
Oates is 1 of 2 nurse practitioner providers in Vidalia and 1 of 929 in Georgia.
NPI age
19 years
Enumerated 2006-10-18
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
414 Lugenia Blvd
Vidalia, GA 30474
📞 9125379355fax 9125377038
Mailing address
Po Box 569, 414 Lugenia Blvd
Vidalia, GA 30475
📞 9125379355fax 9125377038

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN115236 taxonomy 363LP0200X

Identifiers

TypeValueNotes
05 (GA) 00692392C

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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