Individual provider Active NPI

Patricia Ann Marshall, FNP

  • Family Nurse Practitioner
  • Sylvester, GA
National Provider Identifier
1134420268
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN133957 Issued in GA
Practice address
201 Miles St
Sylvester, GA 31791-7540
Phone
(229) 777-1884
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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 RN133957 GA Primary

Addresses

Primary practice location

201 Miles St
Sylvester, GA 31791-7540

Mailing address

201 Miles St
Sylvester, GA 31791-7540
Phone (229) 777-1884

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
I20110106000533 GA Practitioner - Nurse Practitioner 9830388859 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Services PC CurrentSince Feb 9, 2017 Accepting new patients
Georgia Em-I Medical Services, LLC CurrentSince Feb 9, 2017 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince May 1, 2016 Accepting new patients
Phoebe Family Medicine,Coffee County CurrentSince Nov 1, 2010 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Nov 1, 2010 Accepting new patients
Phoebe Sumter Medical Center, Inc. CurrentSince May 1, 2016 Accepting new patients
Phoebe Women's Services CurrentSince Feb 1, 2014 Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients
Montgomery Emergency Group, LLC CurrentSince Jan 21, 2018 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Feb 1, 2014 Accepting new patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients
Phoebe Putney Memorial Hospital, Inc. Past Accepting new patients

Locations

2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1134420268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MILES ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317917540",
            "telephone_number": "229-777-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MILES ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317917540",
            "telephone_number": "229-777-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN133957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvester, GA

Sources for this page

Verify at the official NPI Registry.