Active NPI
Israel Saucedo, APRN, FNP-C
- Acute Care Nurse Practitioner
- Tifton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- APRN-NP170526
- Practice address
- 901 18TH St E
Tifton, GA 31794-3648 - Phone
- (229) 353-7050
- NPI assigned
- Jul 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN-NP170526 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | APRN-NP170526 | GA |
Addresses
Primary practice location
901 18TH St E
Tifton, GA 31794-3648
Mailing address
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 353-7050
Other practice location 1
417 W 3rd Ave
Albany, GA 31701-1943
Phone (229) 312-1000
Other practice location 2
902 N 7th St
Cordele, GA 31015-3270
Phone (229) 276-9310
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2225 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 391-4100
2227 US Hwy 41 N
Tifton, GA 31794-2749
Phone (229) 353-6188
901 18TH St E
Tifton, GA 31794-3648
Phone (229) 382-7120
902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP170526 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Careconnect Health, Inc. | Current | Accepting new patients | |
| Crisp Regional Hospital, Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Phoebe Cancer Center Surgical Oncology | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Crisp Regional Hospital Inc | Current | Accepting new patients | |
| Careconnect Health, Inc. | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Tift Regional Health System, Inc. | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Past | Accepting new patients |
Locations
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
902 N 7th St
Ste N
Cordele, GA 31015
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
Interoperability endpoints
- https://api.platform.athenahealth.com/8478/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/34ff5e8d-9e6e-46ac-96bc-b559872b0325/
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
- Federally Qualified Health Center (FQHC)
- Richland, GA
- NPI 1063436624
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Federally Qualified Health Center (FQHC)
- Sylvester, GA
- NPI 1811874696
-
- Long Term Care Pharmacy
- Cordele, GA
- NPI 1679836142
-
- Surgical Oncology Physician
- Albany, GA
- NPI 1316193626
-
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
-
- Clinic/Center
- Tifton, GA
- NPI 1003980996
-
- Rural Health Clinic/Center
- Adel, GA
- NPI 1871816918
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cordele, GA
- NPI 1700851649
-
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760054400000",
"number": "1003222191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 18TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943648",
"telephone_number": "229-353-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 18TH ST E",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943648",
"telephone_number": "229-353-7050"
}
],
"practiceLocations": [
{
"address_1": "417 W 3rd Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "GA",
"postal_code": "317011943",
"country_code": "US",
"telephone_number": "229-312-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "902 N 7th St",
"address_purpose": "LOCATION",
"city": "Cordele",
"state": "GA",
"postal_code": "310153270",
"country_code": "US",
"telephone_number": "229-276-9310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUCEDO",
"first_name": "ISRAEL",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-09",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "GA",
"license": "APRN-NP170526",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NP170526",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.