P Praxis·MD
● Active Type 1 · Individual

Trevor Frederick Ezzell, FNP

Nurse Practitioner·Gainesville, GA· NPI 1780847699 · Enumerated 2008 · 17 years on NPI
Ezzell is 1 of 161 nurse practitioner providers in Gainesville and 1 of 8826 in Georgia.
NPI age
17 years
Enumerated 2008-07-10
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-02-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8826 active nurse practitioner providers in Georgia.

NPI age
17 years
↑ 10 yr above median (7 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-07Enumerated in NPPES
2008 2026

Where they practice

Practice location
655 Jesse Jewell Pkwy Se, Ste B
Gainesville, GA 305013854
📞 7705327092fax 7705360383
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705357445

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN152048 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (GA) 462656 WELLCARE
01 (GA) 01228809 AMERIGROUP
05 (GA) 129681407A
01 (GA) P00903614 MEDICARE RAILROAD
05 (GA) 129681407B
05 (GA) 129681407C

Practice context

Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Gainesville 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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