P Praxis·MD
● Active Type 1 · Individual

Katia Fayola Outlaw

Nurse Practitioner·Atlanta, GA· NPI 1720495021 · Enumerated 2014 · 11 years on NPI
Outlaw is 1 of 1003 nurse practitioner providers in Atlanta and 1 of 8826 in Georgia.
NPI age
11 years
Enumerated 2014-07-18
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
NC, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-03-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Practice location
550 Peachtree St Ne Ste 1600
Atlanta, GA 303082246
📞 4042988998
Mailing address
5582 Memorial Dr
Stone Mountain, GA 300833215
📞 4043074445

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    NC license #281863MI license #4704254995 taxonomy 363LF0000X
  • 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...
    MI license #4704254995 taxonomy 163W00000X

Identifiers

TypeValueNotes
05 (SC) NP3723
05 (NC) 1720495021
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 25 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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