Individual provider Active NPI

Cyndia L Dampier

  • Pediatric Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1154370773
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN060302 Issued in GA
Practice address
105 W Cranford Ave
Valdosta, GA 31602-2930
Phone
(229) 247-7350
Fax
(229) 242-1730
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN060302 GA Primary

Addresses

Primary practice location

105 W Cranford Ave
Valdosta, GA 31602-2930

Mailing address

105 W Cranford Ave
Valdosta, GA 31602-2930
Phone (229) 247-7350

Other identifiers 1

IdentifierTypeStateIssuer
00779182BMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
RN060302GAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154370773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W CRANFORD AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022930",
            "telephone_number": "229-247-7350",
            "fax_number": "229-242-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W CRANFORD AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022930",
            "telephone_number": "229-247-7350",
            "fax_number": "229-242-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMPIER",
        "first_name": "CYNDIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN060302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00779182B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.