Active NPI
Nakia S Ealy, APRN
- Family Nurse Practitioner
- Hinesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN191095
- Practice address
- 303 Fraser Dr
Hinesville, GA 31313-3712 - Phone
- (912) 877-2227
- Fax
- (912) 877-2332
- NPI assigned
- Nov 16, 2023
- Last updated
- Dec 4, 2023
- 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 | RN191095 | GA | Primary |
Addresses
Primary practice location
303 Fraser Dr
Hinesville, GA 31313-3712
Mailing address
PO Box 1520
Hinesville, GA 31310-8520
Phone (912) 877-2227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN191095 | Other | GA | NURSING LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 Fraser Dr
Hinesville, GA 31313-3712
Phone (912) 545-9398
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversity Health Center Inc. | Current | Accepting new patients | |
| Diversity Health Center Inc. | Current | Accepting new patients | |
| Diversity Health Center Inc | Current | Accepting new patients | |
| Diversity Health Center Inc. | Past | Accepting new patients | |
| Diversity Health Center Inc | Past | Accepting new patients |
Locations
303 Fraser Dr
Hinesville, GA 31313
Phone (912) 255-5523
502 E General Stewart Way
Ste A
Hinesville, GA 31313
Phone (912) 368-1959
244 Peachtree St
Jesup, GA 31545
Phone (912) 385-2453
213 N McDonald St
Ste A
Ludowici, GA 31316
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Hinesville, GA
- NPI 1326594714
-
- Federally Qualified Health Center (FQHC)
- Hinesville, GA
- NPI 1720108590
-
- Community/Retail Pharmacy
- Ludowici, GA
- NPI 1265274120
-
- Federally Qualified Health Center (FQHC)
- Ludowici, GA
- NPI 1952584708
-
- Federally Qualified Health Center (FQHC)
- Jesup, GA
- NPI 1518508613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Liberty Regional Medical Center
- Critical Access Hospital
- Hinesville, GA
- NPI 1326079260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1083489454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1520",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313108520",
"telephone_number": "912-877-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 FRASER DR",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313133712",
"telephone_number": "912-877-2227",
"fax_number": "912-877-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EALY",
"first_name": "NAKIA",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-16",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN191095",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSING LICENSE",
"identifier": "RN191095",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hinesville, GA
- Nicole Dutton-Andrews, FNP-BC
- Dva Healthcare Renal Care Inc (Hinesville Dialysis)
- DWC-H, LLC (Dental Wellness Center of Hinesville)
- Dwinston Home Health Care Agency
- Briana Dykes
- Valerie Ann Edwards
- Margaret Effah
- Effingham Rehab Services, LLC (CORA Physical Therapy - Hinesville)
- Sheela M Eichhorn
- Abdul H El-Amin, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.