P Praxis·MD
● Active Type 1 · Individual

Jessica Noel Kettell, PMHNP-BC

Nurse Practitioner·Decatur, GA· NPI 1982320685 · Enumerated 2022 · 3 years on NPI
Kettell is 1 of 55 nurse practitioner providers in Decatur and 1 of 1622 in Georgia.
NPI age
3 years
Enumerated 2022-10-13
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
3 years
≈ at median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Practice location
465 Winn Way Ste 221
Decatur, GA 300301723
📞 8885888995
Mailing address
4279 Roswell Rd Ne Ste 208, Ste 208 #179
Atlanta, GA 303423705
📞 7704046653fax 7704046654

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4300 Paces Ferry Rd Se Ste 500
Atlanta, GA 303395714
📞 7704046653 x101fax 7704046654

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN255108 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.

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