Active NPI
Deborah Darugar, CFNP
- Family Nurse Practitioner
- Greensboro, GA
National Provider Identifier
1073654786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN054103
- Practice address
- 803 S Main St
Greensboro, GA 30642-1211 - Phone
- (706) 453-1201
- Fax
- (706) 454-0337
- NPI assigned
- Feb 8, 2007
- Last updated
- Jun 23, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN054103 | GA | Primary |
Addresses
Primary practice location
803 S Main St
Greensboro, GA 30642-1211
Mailing address
104 Knollwood CT
Eatonton, GA 31024-5422
Phone (706) 485-8492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000956238A | Medicaid | GA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN054103 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1073654786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 KNOLLWOOD CT",
"city": "EATONTON",
"state": "GA",
"postal_code": "310245422",
"telephone_number": "706-485-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 S MAIN ST",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "306421211",
"telephone_number": "706-453-1201",
"fax_number": "706-454-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARUGAR",
"first_name": "DEBORAH",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN054103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000956238A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.