Delphine Sitsofe Ayivor
Individual provider Active NPI Adult Health Nurse Practitioner · Fort Benning, GA
NPI 1295277754 · NPPES record last updated Mar 17, 2026
Key facts
- NPI
- 1295277754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- APRN-NP212661 (GA)
- Practice address
- 6600 Van Aalst Blvd
Fort Benning, GA 31905-2102 - Phone
- (706) 626-1703
- NPI assigned
- Nov 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NP212661 | GA | MD | Adult Health Nurse Practitioner |
| RN212661 | GA | MD | Chronic Care Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Care Clinical Nurse Specialist | 364SC2300X | RN212661 | GA | |
| Adult Health Nurse Practitioner |
363LA2200X | APRN-NP212661 | GA | Yes |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Mailing address
9264 Garrett Lake Dr
Midland, GA 31820-4446
Phone (732) 687-2012
Other practice location 1
2022 10th Ave
Columbus, GA 31901-3724
Phone (732) 687-2012
Other providers in Fort Benning, GA
- Greg R Atkinson
- Rebecca M Atkinson
- Lindsay Powell Attaway
- Tegrin Averett
- David James Axelrod
- Delacey Reid Bailey
- Channing Baker
- Alexandria Bandel
- Cindy Barefield
- Robert Barker
All providers in Fort Benning, GA · Adult Health Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.