Individual provider Active NPI

Maria Esmeralda Gomez, RN, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Douglas, GA
National Provider Identifier
1144849290
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN183090 Issued in GA
Practice address
1111 Baker Hwy W
Douglas, GA 31533-2107
Phone
(912) 389-4453
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Registered Nurse 163WP1700X RN183090 GA
Family Nurse Practitioner 363LF0000X RN183090 GA Primary

Addresses

Primary practice location

1111 Baker Hwy W
Douglas, GA 31533-2107

Mailing address

310 Bryan St W
Douglas, GA 31533-4730
Phone (912) 389-4586

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
I20230127001723 GA Practitioner - Nurse Practitioner 5092186163 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN183090GAMDPerinatal Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Coffee Regional Medical Center, Inc CurrentSince Apr 26, 2024 Accepting new patients
Bulloch County Board of Health CurrentSince Oct 22, 2022 Accepting new patients
Coffee Regional Medical Center, Inc Current Accepting new patients
Bulloch County Board of Health CurrentSince Oct 22, 2022 Accepting new patients
Ware County Board of Health CurrentSince Dec 2, 2022 Accepting new patients
Toombs County Wellness Center CurrentSince Oct 22, 2022 Accepting new patients
Coffee County Board of Health CurrentSince Oct 12, 2025 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Apr 26, 2024 Accepting new patients
Coffee County Board of Health CurrentSince Mar 1, 2023 Accepting new patients
Toombs County Board of Health CurrentSince Oct 22, 2022 Accepting new patients
CRH Physician Practices, LLC Past Accepting new patients

Locations

1301 Peterson Ave S
Ste B
Douglas, GA 31533
Phone (912) 383-6966

1003 Shirley Ave
Douglas, GA 31533
Phone (912) 389-4204

1301 Peterson Ave N
Ste B
Douglas, GA 31533

310 Bryan St W
Douglas, GA 31533
Phone (912) 389-4204

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

1111 Baker Hwy W
Douglas, GA 31533
Phone (912) 389-4450

714 NW Broad St
Lyons, GA 30436
Phone (912) 526-8108

3 W Altman St
Statesboro, GA 30458
Phone (912) 764-2402

1102 Plant Ave
Waycross, GA 31501
Phone (912) 285-6002

1101 Church St
Waycross, GA 31501
Phone (912) 285-6010

Organizations & group practices 11

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1144849290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 BRYAN ST W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315334730",
            "telephone_number": "912-389-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER HWY W",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332107",
            "telephone_number": "912-389-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ",
        "first_name": "MARIA",
        "middle_name": "ESMERALDA",
        "credential": "RN, MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "GA",
            "license": "RN183090",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN183090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.