Susan Marie Affleck, FNP-C
Individual provider Active NPI Nurse Practitioner · Fort Benning, GA
NPI 1316219587 · NPPES record last updated Jul 17, 2025
Key facts
- NPI
- 1316219587
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN099501 (GA)
- Practice address
- 6600 Van Aalst Blvd
Fort Benning, GA 31905-2102 - Phone
- (762) 408-2242
- NPI assigned
- Feb 3, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| RN099501 | GA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN099501 | GA | Yes |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Mailing address
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone (762) 408-2242
Other providers in Fort Benning, GA
- Ach Martin-Benning
- Ach Martin-Benning
- Ach Martin-Benning
- Ach Martin-Benning
- Joseph Bryan Ahlborn
- Paula Andrea Alarcon
- Joseph Albert Aldrich III
- Cody Alford
- Jenny Allen
All providers in Fort Benning, GA · 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 Jul 17, 2025. 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.