Active NPI
Elizabeth Ann Pugh, RN
- Case Management Registered Nurse
- Fort Eisenhower, GA
National Provider Identifier
1033922778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 041287632
- Practice address
- 300 East Hospital Drive
Pulmonary Department
Fort Eisenhower, GA 30905-5650 - Phone
- (706) 787-2868
- Fax
- (706) 787-3059
- NPI assigned
- Jan 28, 2025
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 041287632 | IL | Primary |
Addresses
Primary practice location
300 East Hospital Drive
Pulmonary Department
Fort Eisenhower, GA 30905-5650
Mailing address
1468 Knob Hill Cir
Evans, GA 30809-6678
Phone (630) 865-7221
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041287632 | IL | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1033922778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1468 KNOB HILL CIR",
"city": "EVANS",
"state": "GA",
"postal_code": "308096678",
"telephone_number": "630-865-7221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 EAST HOSPITAL DRIVE",
"address_2": "PULMONARY DEPARTMENT",
"city": "FORT EISENHOWER",
"state": "GA",
"postal_code": "309055650",
"telephone_number": "706-787-2868",
"fax_number": "706-787-3059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-28",
"certification_date": "2025-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "IL",
"license": "041287632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Eisenhower, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.