Individual provider Active NPI

Susan Elaine Steele, ADVANCED PRACTICE NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milledgeville, GA
National Provider Identifier
1144895350
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN187973 Issued in GA
Practice address
1013 Fernwood Dr Ste C
Milledgeville, GA 31061-5428
Phone
(478) 295-0526
Fax
(478) 295-3644
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN187973 GA Primary

Addresses

Primary practice location

1013 Fernwood Dr Ste C
Milledgeville, GA 31061-5428

Mailing address

1013 Fernwood Dr Ste C
Milledgeville, GA 31061-5428
Phone (478) 295-0526

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Antonio Luis, M.D., LLC CurrentSince Sep 4, 2022 Accepting new patients

Locations

1013 Fernwood Dr
Ste C
Milledgeville, GA 31061
Phone (478) 251-6924

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": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1144895350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 FERNWOOD DR STE C",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310615428",
            "telephone_number": "478-295-0526",
            "fax_number": "478-295-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 FERNWOOD DR STE C",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310615428",
            "telephone_number": "478-295-0526",
            "fax_number": "478-295-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "ADVANCED PRACTICE NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN187973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.