Individual provider Active NPI

Alan W Skipper, APRN, FNP-BC

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1295081685
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN175214 Issued in GA
Practice address
127 N College St
Statesboro, GA 30458-5387
Phone
(912) 681-9519
Fax
(912) 681-9520
NPI assigned
Aug 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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 RN175214 GA Primary

Addresses

Primary practice location

127 N College St
Statesboro, GA 30458-5387

Mailing address

127 N College St
Statesboro, GA 30458-5387
Phone (912) 681-9519

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

State licenses

LicenseStateTypeSpecialty
RN175214GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
E Plus Statesboro Cancer Care, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alan.skipper.1@34003.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1295081685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585387",
            "telephone_number": "912-681-9519",
            "fax_number": "912-681-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N COLLEGE ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585387",
            "telephone_number": "912-681-9519",
            "fax_number": "912-681-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKIPPER",
        "first_name": "ALAN",
        "middle_name": "W",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.