Individual provider Active NPI

Missy Michelle East, NP

  • Nurse Practitioner
  • Albany, GA
National Provider Identifier
1295926392
Registry record updated Aug 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN113560 Issued in GA
Practice address
2400 Osler CT
Albany, GA 31707
Phone
(229) 883-1503
NPI assigned
Aug 5, 2007
Last updated
Aug 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN113560 GA Primary

Addresses

Primary practice location

2400 Osler CT
Albany, GA 31707

Mailing address

2400 Osler CT
Albany, GA 31707-0205
Phone (229) 883-1503

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
I20040604000384 GA Practitioner - Nurse Practitioner 0345222113 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN113560GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Urology Clinic CurrentSince Nov 1, 2017 Accepting new patients
Phoebe Worth Medical Center, Inc CurrentSince Oct 17, 2006 Accepting new patients
Phoebe Putney Memorial Hospital CurrentSince Mar 1, 2016 Accepting new patients
Phoebe Worth Medical Center, Inc CurrentSince Oct 17, 2006 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Mar 1, 2016 Accepting new patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients

Locations

1950 Palmyra Rd
Albany, GA 31701
Phone (229) 883-1503

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

1014 W Franklin St
Sylvester, GA 31791
Phone (229) 776-2965

807 S Isabella St
Sylvester, GA 31791
Phone (229) 777-3851

Organizations & group practices 7

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1295926392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 OSLER CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070205",
            "telephone_number": "229-883-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 OSLER CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-883-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAST",
        "first_name": "MISSY",
        "middle_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN113560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.