Individual provider Active NPI

Ashley Exum, WHNP-BC

  • Women's Health Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1083122709
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN215630 Issued in GA
Practice address
3312 N Oak St Ste F&G
Valdosta, GA 31605-1065
Phone
(229) 433-8526
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN215630 GA Primary

Addresses

Primary practice location

3312 N Oak St Ste F&G
Valdosta, GA 31605-1065

Mailing address

3312 N Oak St Ste F&G
Valdosta, GA 31605-1065
Phone (229) 433-8526

Other identifiers 1

IdentifierTypeStateIssuer
003211875AMedicaidGA

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
I20180901000148 GA Practitioner - Nurse Practitioner 4183974728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians

Practice addresses (Care Compare)

3312 N Oak St
Suite Fandg
Valdosta, GA 31605-1065
Phone (229) 433-8526

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN215630GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SGMC Physician Network Inc CurrentSince Dec 1, 2022 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
Faith Hope & Love Christian Ministries CurrentSince Jun 14, 2018 Accepting new patients

Locations

375 W Highway 37
Lakeland, GA 31635
Phone (229) 834-2209

106 W Thigpen Ave
Lakeland, GA 31635
Phone (229) 232-8052

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

3312 N Oak St
Ste G
Valdosta, GA 31605

3312 N Oak Street Ext
Bldg F
Valdosta, GA 31605
Phone (229) 247-3300

3312 N Oak St
Ste Fg
Valdosta, GA 31605
Phone (229) 433-8526

3312 N Oak St
Ste F
Valdosta, GA 31605

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Interoperability endpoints

  • Direct secure messaging: aexum50235@sgmc.gadirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1083122709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 N OAK ST STE F&G",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051065",
            "telephone_number": "229-433-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 N OAK ST STE F&G",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051065",
            "telephone_number": "229-433-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXUM",
        "first_name": "ASHLEY",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN215630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003211875A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.