Active NPI
Annette T Trawick, RN
- Home Health Registered Nurse
- Milledgeville, GA
National Provider Identifier
1255633368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RN068073
- Practice address
- 187 Roberson Mill Rd NE
Suite 110
Milledgeville, GA 31061-4960 - Phone
- (478) 456-4652
- Fax
- (478) 414-1264
- NPI assigned
- Nov 22, 2010
- Last updated
- Nov 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN068073 | GA | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN068073 | GA | |
| Administrator Registered Nurse | 163WA2000X | RN068073 | GA | |
| Community Health Registered Nurse | 163WC1500X | RN068073 | GA | |
| Gerontology Registered Nurse | 163WG0600X | RN068073 | GA | |
| Home Health Registered Nurse | 163WH0200X | RN068073 | GA | Primary |
| Maternal Newborn Registered Nurse | 163WM0102X | RN068073 | GA | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN068073 | GA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN068073 | GA |
Addresses
Primary practice location
187 Roberson Mill Rd NE
Suite 110
Milledgeville, GA 31061-4960
Mailing address
187 Roberson Mill Rd NE
Suite 110
Milledgeville, GA 31061-4960
Phone (478) 456-4652
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN068073 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ratliff Private Home Care | Past | Accepting new patients | |
| Collaborative Healthcare | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Other Technician
- Milledgeville, GA
- NPI 1831467299
-
dba Collaborative Health Care & Tng Ins
- In Home Supportive Care Agency
- Milledgeville, GA
- NPI 1194092742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1255633368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 ROBERSON MILL RD NE",
"address_2": "SUITE 110",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310614960",
"telephone_number": "478-456-4652",
"fax_number": "478-414-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 ROBERSON MILL RD NE",
"address_2": "SUITE 110",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310614960",
"telephone_number": "478-456-4652",
"fax_number": "478-414-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAWICK",
"first_name": "ANNETTE",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-22",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN068073",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "RN068073",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "GA",
"license": "RN068073",
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN068073",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "GA",
"license": "RN068073",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "RN068073",
"primary": true
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "GA",
"license": "RN068073",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "GA",
"license": "RN068073",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "GA",
"license": "RN068073",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.