Active NPI
Georgia A Summers, NP
- Family Nurse Practitioner
- Marquette, MI
National Provider Identifier
1255507828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704119201
- Practice address
- 425 Corning St
Marquette, MI 49855-9306 - Phone
- (906) 249-1996
- Fax
- (906) 486-6898
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704119201 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704119201 | MI | Primary |
Addresses
Primary practice location
425 Corning St
Marquette, MI 49855-9306
Mailing address
PO Box 260
Ishpeming, MI 49849-0260
Phone (906) 485-2143
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1255507828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260",
"city": "ISHPEMING",
"state": "MI",
"postal_code": "498490260",
"telephone_number": "906-485-2143",
"fax_number": "906-486-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 CORNING ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559306",
"telephone_number": "906-249-1996",
"fax_number": "906-486-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "GEORGIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704119201",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704119201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.