Individual provider Active NPI

Patricia A Maney, CPNP

  • Pediatric Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1225257751
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN095059 Issued in GA
Practice address
1049 N Houston Rd
Warner Robins, GA 31093-1505
Phone
(478) 922-9001
Fax
(478) 329-8619
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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 RN095059 GA Primary

Addresses

Primary practice location

1049 N Houston Rd
Warner Robins, GA 31093-1505

Mailing address

1049 N Houston Rd
Warner Robins, GA 31093-1505
Phone (478) 922-9001

Other practice location 1

655 7th St Bldg 700A78
Robins AFB, GA 31098-2227
Phone (478) 497-8221

Other identifiers 1

IdentifierTypeStateIssuer
00867347AMedicaidGA

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN095059GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric First, PC Past 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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1225257751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 N HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931505",
            "telephone_number": "478-922-9001",
            "fax_number": "478-329-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 N HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310931505",
            "telephone_number": "478-922-9001",
            "fax_number": "478-329-8619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 7th St Bldg 700A78",
            "address_purpose": "LOCATION",
            "city": "Robins AFB",
            "state": "GA",
            "postal_code": "310982227",
            "country_code": "US",
            "telephone_number": "478-497-8221",
            "fax_number": "478-327-8434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANEY",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN095059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00867347A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.