Active NPI
Phyllis H. Roland, RN
- General Practice Registered Nurse
- Appling, GA
National Provider Identifier
1295825248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 568492
- Practice address
- 6420 Pollards Pond Rd
Appling, GA 30802-3726 - Phone
- (706) 447-7679
- Fax
- (706) 868-3336
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN046458 | GA | |
| General Practice Registered Nurse | 163WG0000X | 568492 | CA | Primary |
Addresses
Primary practice location
6420 Pollards Pond Rd
Appling, GA 30802-3726
Mailing address
305 Cedar Rock MDWS
Martinez, GA 30907-2701
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN046458 | GA | MD | Community Health Registered Nurse |
| 568492 | CA | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1295825248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 CEDAR ROCK MDWS",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309072701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 POLLARDS POND RD",
"city": "APPLING",
"state": "GA",
"postal_code": "308023726",
"telephone_number": "706-447-7679",
"fax_number": "706-868-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLAND",
"first_name": "PHYLLIS",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "GA",
"license": "RN046458",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CA",
"license": "568492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appling, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.