Individual provider Active NPI

Annette T Trawick, RN

  • Home Health Registered Nurse
  • Milledgeville, GA
National Provider Identifier
1255633368
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN068073 Issued in GA
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, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN068073GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.