Individual provider Active NPI

Anita D. Sinnott, NP

  • Adult Health Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1083835227
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN098278 Issued in GA
Practice address
3018 N Patterson St
Valdosta, GA 31602-1711
Phone
(229) 249-4121
Fax
(229) 249-4031
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN098278 GA Primary

Addresses

Primary practice location

3018 N Patterson St
Valdosta, GA 31602-1711

Mailing address

3018 N Patterson St
Valdosta, GA 31602-1711
Phone (229) 249-4121

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
I20071204000228 GA Practitioner - Nurse Practitioner 4486743101 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Behavioral Health Services LLCGroup PAC ID 8224469085, 9 clinicians

Practice addresses (Care Compare)

2209 Pineview Dr
Valdosta, GA 31602-7316
Phone (229) 236-0831

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SGMP Southland LLC CurrentSince Jan 1, 2018 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jul 21, 2018 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Jul 21, 2018 Accepting new patients
Southland Behavioral Health Services LLC CurrentSince Dec 1, 2020 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia Past Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

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

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

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1083835227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021711",
            "telephone_number": "229-249-4121",
            "fax_number": "229-249-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 N PATTERSON ST",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021711",
            "telephone_number": "229-249-4121",
            "fax_number": "229-249-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINNOTT",
        "first_name": "ANITA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN098278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.