Individual provider Active NPI

Margaret O'Berry

  • Registered Nurse
  • Adel, GA
National Provider Identifier
1154620524
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
149668 Issued in GA
Practice address
1905 S Hutchinson Ave
Adel, GA 31620-5246
Phone
(229) 896-4559
Fax
(229) 896-8367
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 149668 GA Primary

Addresses

Primary practice location

1905 S Hutchinson Ave
Adel, GA 31620-5246

Mailing address

3120 N Oak Street Ext Ste C
Valdosta, GA 31602-5910
Phone (229) 671-6100

Other identifiers 1

IdentifierTypeStateIssuer
149668OtherGARN

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
149668GAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1154620524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 N OAK STREET EXT STE C",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316025910",
            "telephone_number": "229-671-6100",
            "fax_number": "229-671-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 S HUTCHINSON AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316205246",
            "telephone_number": "229-896-4559",
            "fax_number": "229-896-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BERRY",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "149668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "149668",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adel, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.