Individual provider Active NPI

Barbara D Pittman, FNP-C

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1003208497
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN108389 Issued in GA
Practice address
615A Pendleton St
Waycross, GA 31501-4724
Phone
(912) 548-0710
Fax
(912) 548-0071
NPI assigned
Feb 23, 2015
Last updated
May 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN108389 GA Primary

Addresses

Primary practice location

615A Pendleton St
Waycross, GA 31501-4724

Mailing address

615A Pendleton St
Waycross, GA 31501-4724
Phone (912) 548-0710

Other identifiers 2

IdentifierTypeStateIssuer
20250I3188OtherGAMEDICARE PTAN
003158200AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150410000966 GA Practitioner - Nurse Practitioner 3274851860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satilla Rheumatology and Internal Medicine, PCGroup PAC ID 5193852150, 7 clinicians

Practice addresses (Care Compare)

615 Pendleton St
Suite a
Leesville, GA 71446-4724
Phone (865) 531-0176

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
92.57
Improvement activities
40
Cost
75.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Satilla Rheumatology and Internal Medicine, PC CurrentSince Mar 1, 2015 Accepting new patients

Locations

137 GA Highway 32 Byp
Alma, GA 31510
Phone (912) 548-0710

223 Bay St
Baxley, GA 31513
Phone (912) 548-0710

100 Doctors Dr
Ste A
Douglas, GA 31533
Phone (912) 383-6575

615 Pendleton St
Ste A
Waycross, GA 31501
Phone (912) 548-0710

711 Knight Ave
Waycross, GA 31501
Phone (912) 283-9423

Interoperability endpoints

  • Direct secure messaging: barbara.pittman.p1@direct.satillarheum.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1003208497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615A PENDLETON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014724",
            "telephone_number": "912-548-0710",
            "fax_number": "912-548-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615A PENDLETON ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315014724",
            "telephone_number": "912-548-0710",
            "fax_number": "912-548-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "BARBARA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN108389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20250I3188",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158200A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.