Organization Active NPI

Compass Family Healthcare LLC

  • Family Nurse Practitioner
  • Ellaville, GA
National Provider Identifier
1073054946
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN186042 Issued in GA
Legal business name
COMPASS FAMILY HEALTHCARE LLC
Practice address
22 West Oglethorpe Street
Ellaville, GA 31806
Phone
(229) 937-5549
NPI assigned
Mar 13, 2017
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Allen Blaine Howell, FNPCNPI 1114208543
Title
Owner
Phone
(229) 937-5549

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN186042 GA Primary

Addresses

Primary practice location

22 West Oglethorpe Street
Ellaville, GA 31806

Mailing address

PO Box 870
Ellaville, GA 31806-0870
Phone (229) 937-5549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170707002398 GA Part B Supplier - Clinic/Group Practice 4284903139 Receives reassigned benefits from 1 practitioner
Practice locations: Ellaville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2128361Compass Family Healthcare, LLC22 West Oglethorpe Street, Ellaville, GA 31806Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Locations

22 W Oglethorpe St
Ellaville, GA 31806
Phone (222) 937-5549

56 Ebenezer Rd
Ellaville, GA 31806
Phone (222) 937-5549

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1073054946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870",
            "city": "ELLAVILLE",
            "state": "GA",
            "postal_code": "318060870",
            "telephone_number": "229-937-5549",
            "fax_number": "229-937-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEST OGLETHORPE STREET",
            "city": "ELLAVILLE",
            "state": "GA",
            "postal_code": "31806",
            "telephone_number": "229-937-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS FAMILY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-937-5549",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN186042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellaville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.