P Praxis·MD
● Active Type 1 · Individual

Fontonya Myrick, CERT HAIR LOSS SPEC

Specialist·Jonesboro, GA· NPI 1760874853 · Enumerated 2015 · 11 years on NPI
Myrick is 1 of 4 specialist providers in Jonesboro and 1 of 250 in Georgia.
NPI age
11 years
Enumerated 2015-02-26
Primary specialty
Specialist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2015-02-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 250 active specialist providers in Georgia.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Practice location
330 Arrowhead Blvd, Apt. 18a
Jonesboro, GA 302361105
📞 4702168183
Mailing address
330 Arrowhead Blvd, Apt. 18a
Jonesboro, GA 302361105
📞 4702168183

Specialties

  • Specialist Primary
    A case manager who provides services for patients with prosthetics.
    taxonomy 1744P3200X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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