P Praxis·MD
● Active Type 1 · Individual

Joseph Lavallo, ACNP

Nurse Practitioner·Fayetteville, GA· NPI 1871720003 · Enumerated 2009 · 16 years on NPI
Lavallo is 1 of 6 nurse practitioner providers in Fayetteville and 1 of 950 in Georgia.
NPI age
16 years
Enumerated 2009-06-15
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
16 years
↑ 10 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
1267 Highway 54 W Ste 4200
Fayetteville, GA 302142112
📞 6788291060fax 6788291099
Mailing address
1800 Howell Mill Rd Nw Ste 800
Atlanta, GA 303180922
📞 6782983239

Additional practice locations

6 secondary locations on file with NPPES.

Location 2
1267 Highway 54 W, Suite 2200
Fayetteville, GA 302142114
📞 7707060051
Location 3
290 Country Club Dr Ste 100
Stockbridge, GA 302819069
📞 6788549500fax 6788549502
Location 4
775 Poplar Rd Ste 310
Newnan, GA 302658303
📞 7702512590fax 7702511490
Location 5
4877 Bill Gardner Pkwy
Locust Grove, GA 302483644
📞 6783997190fax 6783997192
Location 6
755 Mount Vernon Hwy Ne Ste 320
Atlanta, GA 303284288
📞 4043508711fax 4043517550
Location 7
1800 Howell Mill Rd Nw Ste 800
Atlanta, GA 303180922
📞 4043509853fax 4043508407

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN214862 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 12 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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