Healthcare Provider Details

I. General information

NPI: 1346332517
Provider Name (Legal Business Name): BILLIE NIX-BEDDINGFIELD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COLLEGE AVE SE
GAINESVILLE GA
30501-4510
US

IV. Provider business mailing address

100 COLLEGE AVE SE
GAINESVILLE GA
30501-4510
US

V. Phone/Fax

Practice location:
  • Phone: 770-534-0534
  • Fax: 770-532-4049
Mailing address:
  • Phone: 770-534-0534
  • Fax: 770-532-4049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN150406
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN150406 NP
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: