P Praxis·MD
● Active Type 1 · Individual

Deborah Shadburn, CPNP

Nurse Practitioner·Gainesville, GA· NPI 1790757714 · Enumerated 2006 · 20 years on NPI
Shadburn is 1 of 15 nurse practitioner providers in Gainesville and 1 of 929 in Georgia.
NPI age
20 years
Enumerated 2006-02-03
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-08-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 929 active nurse practitioner providers in Georgia.

NPI age
20 years
↑ 10 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
725 Jesse Jewell Pkwy Se
Gainesville, GA 305013834
📞 7705353611fax 7705357092
Mailing address
Po Box 658
Gainesville, GA 305030658
📞 7707181122fax 7705348998

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN051454 taxonomy 363LP0200X

Identifiers

TypeValueNotes
05 (GA) 000733268E
01 (GA) 303687 WELLCARE
01 (GA) 303688 WELLCARE
01 (GA) 303689 WELLCARE
05 (GA) 000733268F
01 (GA) 303674 WELLCARE
01 (GA) 10032995 AMERIGROUP
05 (GA) 000733268A
05 (GA) 000733268B

Practice context

Part of a multi-provider practice. 151 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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