P Praxis·MD
● Active Type 1 · Individual

Nicola Ricketts, APRN

Nurse Practitioner·Conyers, GA· NPI 1750640363 · Enumerated 2012 · 14 years on NPI
Ricketts is 1 of 10 nurse practitioner providers in Conyers and 1 of 806 in Georgia.
NPI age
14 years
Enumerated 2012-05-16
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
14 years
↑ 3 yr above median (11 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
1147 Charming Pines Pl Ne
Conyers, GA 300125223
📞 7185189007
Mailing address
1147 Charming Pines Pl Ne
Conyers, GA 300125223
📞 7185189007

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #NP712978 taxonomy 363LA2200X
  • 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...
    NY license #578272-1 taxonomy 163W00000X

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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