Individual provider Active NPI

Susan S. Ragains, RN,FNP-BC

  • Nurse Practitioner
  • Waynesboro, GA
National Provider Identifier
1144466699
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0035673 Issued in GA
Practice address
114 Dogwood Dr
Waynesboro, GA 30830-5446
Phone
(706) 554-3618
NPI assigned
Jan 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 048215 GA
Nurse Practitioner 363L00000X 0035673 GA Primary

Addresses

Primary practice location

114 Dogwood Dr
Waynesboro, GA 30830-5446

Mailing address

404 S Lake Dr
Sylvania, GA 30467-2152
Phone (912) 564-2821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
048215GAMDRegistered Nurse
0035673GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Burke County Board of Health PastSince Mar 29, 2020 Accepting new patients

Organizations & group practices 1

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": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1144466699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S LAKE DR",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304672152",
            "telephone_number": "912-564-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 DOGWOOD DR",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308305446",
            "telephone_number": "706-554-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGAINS",
        "first_name": "SUSAN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "RN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "048215",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "0035673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.