Individual provider Active NPI

Billie Salina Stout, FNP-C

  • Family Nurse Practitioner
  • Sylvania, GA
National Provider Identifier
1114459567
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN155792 Issued in GA
Practice address
330 Mims Rd
Sylvania, GA 30467-1904
Phone
(912) 451-5887
NPI assigned
Apr 3, 2017
Last updated
Oct 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN155792 GA Primary

Addresses

Primary practice location

330 Mims Rd
Sylvania, GA 30467-1904

Mailing address

330 Mims Rd
Sylvania, GA 30467-1904
Phone (912) 451-5887

Other practice location 1

1075 E Winthrope Ave
Millen, GA 30442-6766
Phone (478) 249-1200

Other identifiers 1

IdentifierTypeStateIssuer
003188494MedicaidGA

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
I20170612000997 GA Practitioner - Nurse Practitioner 4183992357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince Sep 26, 2017 Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince Sep 26, 2017 Accepting new patients

Locations

1075 E Winthrope Ave
Millen, GA 30442
Phone (478) 237-2638

117 Memorial Dr
Reidsville, GA 30453
Phone (912) 557-3300

215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638

330 Mims Rd
Sylvania, GA 30467
Phone (912) 451-5887

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBFFAA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1114459567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MIMS RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671904",
            "telephone_number": "912-451-5887",
            "fax_number": "478-237-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MIMS RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671904",
            "telephone_number": "912-451-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1075 E Winthrope Ave",
            "address_purpose": "LOCATION",
            "city": "Millen",
            "state": "GA",
            "postal_code": "304426766",
            "country_code": "US",
            "telephone_number": "478-249-1200",
            "fax_number": "478-237-9138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "BILLIE",
        "middle_name": "SALINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003188494",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, GA

Sources for this page

Verify at the official NPI Registry.