Individual provider Active NPI

Olivia Rambo Neal, NP

  • Adult Health Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1285973149
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN202198 Issued in GA
Practice address
3226 Hampton Ave Ste a
Brunswick, GA 31520-4226
Phone
(912) 264-0760
Fax
(912) 261-1608
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN202198 GA Primary

Addresses

Primary practice location

3226 Hampton Ave Ste a
Brunswick, GA 31520-4226

Mailing address

3226 Hampton Ave Ste a
Brunswick, GA 31520-4226
Phone (912) 264-0760

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
I20130328000528 GA Practitioner - Nurse Practitioner 2668617333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent'S Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

615 Pendleton St
Waycross, GA 31501-4759
Phone (904) 285-9994

Hospital & facility affiliations

  • Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
  • Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Sep 30, 2021 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Sep 30, 2021 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

3226 Hampton Ave
Ste A
Brunswick, GA 31520
Phone (912) 264-0760

1375 E King Ave
Ste B
Kingsland, GA 31548
Phone (912) 882-2910

1506 Alice St
Waycross, GA 31501
Phone (912) 285-3086

615 Pendleton St
Waycross, GA 31501
Phone (912) 285-9994

Interoperability endpoints

  • Direct secure messaging: olivia.neal.1@8967.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384473600000",
    "number": "1285973149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204226",
            "telephone_number": "912-264-0760",
            "fax_number": "912-261-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3226 HAMPTON AVE STE A",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204226",
            "telephone_number": "912-264-0760",
            "fax_number": "912-261-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "OLIVIA",
        "middle_name": "RAMBO",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN202198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.