Active NPI
Krystal Renae Sumner
- Registered Nurse
- Ellijay, GA
National Provider Identifier
1003711409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN135578
- Practice address
- 822 Industrial Blvd Ste 100
Ellijay, GA 30540-3802 - Phone
- (706) 635-4363
- Fax
- (706) 276-4346
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN135578 | GA | Primary |
Addresses
Primary practice location
822 Industrial Blvd Ste 100
Ellijay, GA 30540-3802
Mailing address
822 Industrial Blvd Ste 100
Ellijay, GA 30540-3802
Phone (706) 635-4363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791936000000",
"number": "1003711409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 INDUSTRIAL BLVD STE 100",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305403802",
"telephone_number": "706-635-4363",
"fax_number": "706-276-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 INDUSTRIAL BLVD STE 100",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305403802",
"telephone_number": "706-635-4363",
"fax_number": "706-276-4346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "KRYSTAL",
"middle_name": "RENAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN135578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellijay, GA
- Southern Health Corp of Ellijay (Internal Medicine of North Georgia)
- Southern Health Corp of Ellijay (Gilmer Nursing Home)
- Southern Health Corp of Ellijay (North Georgia Medical Center)
- Southland Health Services of Georgia, Inc.
- Linda Jeannette Stanley, LMT
- Donna Greene Sweat, FNP-C
- Talbot Dental Associates PC
- Travis Tarleton
- Terrance Taylor
- The Atlanta Cardiology Group, PC (ACG Ellijay)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.