Individual provider Active NPI

Annalise Prunier, DNP-FNP-C

  • Family Nurse Practitioner
  • Martinez, GA
National Provider Identifier
1255008215
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN245881 Issued in GA
Practice address
4081 Spencer St
Martinez, GA 30907-4203
Phone
(706) 832-9342
NPI assigned
Aug 26, 2021
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN245881 GA Primary

Addresses

Primary practice location

4081 Spencer St
Martinez, GA 30907-4203

Mailing address

4081 Spencer St
Martinez, GA 30907-4203
Phone (706) 832-9342

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
I20260417002821 GA Practitioner - Nurse Practitioner 2961978879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4081 Spencer St
Martinez, GA 30907-4203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN245881GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgepoint Health, LLC CurrentSince Mar 29, 2026 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1255008215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 SPENCER ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074203",
            "telephone_number": "706-832-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 SPENCER ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074203",
            "telephone_number": "706-832-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUNIER",
        "first_name": "ANNALISE",
        "name_prefix": "Mrs.",
        "credential": "DNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN245881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

Verify at the official NPI Registry.