P Praxis·MD
● Active Type 1 · Individual

Mary Lacey, ANP

Nurse Practitioner·MacOn, GA· NPI 1902096399 · Enumerated 2007 · 18 years on NPI
Lacey is 1 of 4 nurse practitioner providers in MacOn and 1 of 123 in Georgia.
NPI age
18 years
Enumerated 2007-07-31
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA, AK
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-04-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 123 active nurse practitioner providers in Georgia.

NPI age
18 years
↑ 7 yr above median (11 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Practice location
350 Hospital Dr
MacOn, GA 995084615
📞 4787654132
Mailing address
350 Hospital Dr
MacOn, GA 995196276

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN182787 taxonomy 363LN0000X
  • Nurse Practitioner
    Definition to come...
    AK license #794 taxonomy 363LP0222X

Identifiers

TypeValueNotes
05 (GA) RN182787
05 (AK) NP0794
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 171 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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