Individual provider Active NPI

Erin Kyle Cullefer, NP

  • Acute Care Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1316393382
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN20536 Issued in GA
Practice address
2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone
(706) 243-4500
Fax
(706) 243-4504
NPI assigned
May 10, 2016
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN20536 GA Primary

Addresses

Primary practice location

2121 Warm Springs Rd
Columbus, GA 31904-7955

Mailing address

2121 Warm Springs Rd
Columbus, GA 31904-7955
Phone (062) 434-5007

Other practice location 1

2300 Manchester Expressway Suite H104
Columbus, GA 31904
Phone (706) 243-4500

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
I20160901001256 GA Practitioner - Nurse Practitioner 6406142330 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN20536GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sec2 CurrentSince Aug 9, 2020 Accepting new patients
Southeastern Cardiology Associates PC CurrentSince Aug 1, 2016 Accepting new patients

Locations

2121 Warm Springs Rd
Columbus, GA 31904
Phone (706) 243-4500

2300 Manchester Expy
Ste H104
Columbus, GA 31904
Phone (706) 243-4500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCCDCA

Organizations & group practices 2

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1316393382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047955",
            "telephone_number": "062-434-5007",
            "fax_number": "706-243-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319047955",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Manchester Expressway Suite H104",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "31904",
            "country_code": "US",
            "telephone_number": "706-243-4500",
            "fax_number": "706-243-4503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEFER",
        "first_name": "ERIN",
        "middle_name": "KYLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN20536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.