Individual provider Active NPI

Susan Darlene Boyett, FNP-C

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1023036142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN151248 Issued in GA
Practice address
2402 Osler CT
Albany, GA 31707-0205
Phone
(229) 438-3300
Fax
(229) 438-4651
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

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
I20050928000164 GA Practitioner - Nurse Practitioner 4688609795 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN151248GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Physician Group, Inc CurrentSince May 1, 2016 Accepting new patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Oct 1, 2020 Accepting new patients
Phoebe Radiology CurrentSince Oct 1, 2020 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 28, 2017 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 28, 2017 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2740 Ray Knight Way
Ste 200
Albany, GA 31707
Phone (229) 312-0698

2402 Osler Ct
Albany, GA 31707
Phone (229) 438-3300

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: susan.boyett@phoebehealth.gadirect.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN151248 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2402 Osler CT
Albany, GA 31707-0205

Mailing address

2300 Longwood Dr
Albany, GA 31721-9109
Phone (229) 534-0416

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
RN151248NPOtherGALICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023036142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LONGWOOD DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219109",
            "telephone_number": "229-534-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 OSLER CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070205",
            "telephone_number": "229-438-3300",
            "fax_number": "229-438-4651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYETT",
        "first_name": "SUSAN",
        "middle_name": "DARLENE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN151248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN151248NP",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.