P Praxis·MD
● Active Type 1 · Individual

MS. Vivian Gaines-Thompson, N.P.

Nurse Practitioner·Stone Mountain, GA· NPI 1790197283 · Enumerated 2014 · 11 years on NPI
Gaines-Thompson is 1 of 42 nurse practitioner providers in Stone Mountain and 1 of 8826 in Georgia.
NPI age
11 years
Enumerated 2014-06-02
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-04
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
11 years
↑ 4 yr above median (7 yr)
State licenses
2 states
Top 92% — 8% of peers are multi-state
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-06Enumerated in NPPES
2014 2026

Where they practice

Practice location
1825 Rockbridge Rd Ste 15b
Stone Mountain, GA 300873306
📞 4704443134fax 4702764370
Mailing address
Po Box 740015
Atlanta, GA 303740015
📞 3127339730fax 7738668014

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
333 S Madison St
Muncie, IN 473052465
📞 7652867000fax 7652132769
Location 3
333 S Madison St
Muncie, IN 47305
📞 7652867000fax 7652132769
Location 4
6401 E Washington St
Indianapolis, IN 462196614
📞 3178087085

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #GAA-NP000530IN license #28103222A taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (IN) F0614489 BOARD CERTIFICATION
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 16 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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