NPIMap

Individual provider Active NPI

Treasure F Pope, P.A.-C

  • Medical Physician Assistant
  • Sumner, GA
National Provider Identifier
1073576930
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
002756 Issued in GA
Practice address
839 Hogan Rd
Sumner, GA 31789-4717
Phone
(229) 392-1608
NPI assigned
Apr 10, 2006
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 002756 GA Primary

Addresses

Primary practice location

839 Hogan Rd
Sumner, GA 31789-4717

Mailing address

839 Hogan Rd
Sumner, GA 31789-4717
Phone (229) 392-1608

Other identifiers 3

IdentifierTypeStateIssuer
100002472AMedicaidGA
100002472CMedicaidGA
100002472BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120508000175 GA Practitioner - Physician Assistant 5092977199 Reassigns benefits to 12 organizations
I20250130001427 FL Practitioner - Physician Assistant 5092977199 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002756GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison County Hospital Health Systems, Inc. CurrentSince Nov 23, 2024 Accepting new patients
SMD EMS Group LLC CurrentSince Dec 22, 2025 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Feb 1, 2016 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC Past Accepting new patients
Radadvantage a Professional Corporation Past Accepting new patients
Southland-Nashville Emergency Services, LLC. Past Accepting new patients
Southland Evans Emergency Medical Services LLC Past Accepting new patients
BCH Medical Investors, LLC Past Accepting new patients

Locations

224 NW Crane Ave
Madison, FL 32340
Phone (850) 253-1923

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1073576930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 HOGAN RD",
            "city": "SUMNER",
            "state": "GA",
            "postal_code": "317894717",
            "telephone_number": "229-392-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 HOGAN RD",
            "city": "SUMNER",
            "state": "GA",
            "postal_code": "317894717",
            "telephone_number": "229-392-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "TREASURE",
        "middle_name": "F",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002472A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002472C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002472B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, GA

Sources for this page

Verify at the official NPI Registry.