P Praxis·MD
● Active Type 1 · Individual

Jennifer Fordham, NP

Nurse Practitioner·MacOn, GA· NPI 1972237055 · Enumerated 2022 · 3 years on NPI
Fordham is 1 of 32 nurse practitioner providers in MacOn and 1 of 950 in Georgia.
NPI age
3 years
Enumerated 2022-07-13
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-09
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
3 years
↓ 3 yr below median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-07Enumerated in NPPES
2022 2026

Where they practice

Practice location
575 1st St
MacOn, GA 312012825
📞 4787439762fax 4787439465
Mailing address
575 1st St
MacOn, GA 312012825
📞 4787439762fax 4787439465

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #APRN-NP231473 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in MacOn 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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