P Praxis·MD
● Active Type 1 · Individual

MS. Paige B. Kenway, AGPCNP-BC

Nurse Practitioner·Fayetteville, GA· NPI 1720548704 · Enumerated 2019 · 7 years on NPI
Kenway is 1 of 51 nurse practitioner providers in Fayetteville and 1 of 3206 in Georgia.
NPI age
7 years
Enumerated 2019-03-25
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
7 years
≈ at median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
132 Old Norton Rd Ste 200
Fayetteville, GA 302154873
📞 6788171117fax 6788170823
Mailing address
1835 Savoy Dr Ste 300
Atlanta, GA 303411071
📞 6788171117fax 6788170823

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN222344 taxonomy 363L00000X

Identifiers

TypeValueNotes
05 (GA) 003217336A
01 (GA) G11383A MEDICARE PTAN

Practice context

Part of a multi-provider practice. 4 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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