Individual provider Active NPI

Lindsey Ruple, ARPN

  • Family Nurse Practitioner
  • Vidalia, GA
National Provider Identifier
1346058542
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN300238 Issued in GA
Practice address
122 Alice Coleman Dr
Vidalia, GA 30474-8860
Phone
(912) 805-2273
Fax
(912) 805-2274
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN300238 GA Primary

Addresses

Primary practice location

122 Alice Coleman Dr
Vidalia, GA 30474-8860

Mailing address

PO Box 2324
Vidalia, GA 30475-2324

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
I20250218001628 GA Practitioner - Nurse Practitioner 7618497983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidalia Immediate and Primary Care LLCGroup PAC ID 8820489941, 10 clinicians

Practice addresses (Care Compare)

122 Alice Coleman Dr
Vidalia, GA 30474-8860
Phone (912) 805-2273

Hospital & facility affiliations

  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN300238GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidalia Immediate & Primary Care LLC CurrentSince Dec 1, 2024 Accepting new patients
Cardiovascular Associates of Eastern Georgia PastSince Dec 1, 2024 Accepting new patients

Locations

122 Alice Coleman Dr
Vidalia, GA 30474
Phone (912) 805-2273

Interoperability endpoints

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

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1346058542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2324",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304752324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ALICE COLEMAN DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748860",
            "telephone_number": "912-805-2273",
            "fax_number": "912-805-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPLE",
        "first_name": "LINDSEY",
        "credential": "ARPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN300238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.