Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Plaxedes T Mandibaya, APRN-FNP-BC

Individual provider Nurse Practitioner · NPI 1750964680

Plaxedes T Mandibaya, APRN-FNP-BC is a Nurse Practitioner in Snellville, Georgia. Qualified in 2020, 6 years ago. Practices with Gregg Soifer MD LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

3449 Allie Dr
Snellville, GA 30039-7105
Phone: (404) 748-3425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN245629 (GA)

Record details

NPI number1750964680
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-FNP-BC
Sole proprietorNo
NPI enumeratedApril 29, 2021
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Gregg Soifer Md Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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