Individual provider Active NPI

Guertone Sutton, APRN

  • Family Medicine Physician
  • Milledgeville, GA
National Provider Identifier
1376138909
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
235616 Issued in GA
Practice address
231 W Hancock St
Milledgeville, GA 31061-3371
Phone
(800) 342-0471
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 235616 GA
Family Medicine Physician 207Q00000X 235616 GA Primary

Addresses

Primary practice location

231 W Hancock St
Milledgeville, GA 31061-3371

Mailing address

231 W Hancock St
Milledgeville, GA 31061-3371
Phone (800) 342-0471

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL n/a

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
I20220621002706 GA Practitioner - Nurse Practitioner 2567841604 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hardy Renew Wellness,LLCGroup PAC ID 2961812425, 9 clinicians
Georgia Mso LLCGroup PAC ID 3173041639, 29 clinicians

Practice addresses (Care Compare)

1430 Georgia Ave
East Point, GA 30344-4329
Phone (212) 734-6621

1640 Powers Ferry Rd SE
BLDG 15
Marietta, GA 30067-5491
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
235616GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Medical Center, Inc CurrentSince Mar 16, 2022 Accepting new patients
Southside Medical Center, Inc. CurrentSince Mar 16, 2022 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Aug 1, 2024 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Aug 28, 2024 Accepting new patients
Georgia Mso LLC Family Medicine CurrentSince Apr 15, 2025 Accepting new patients

Locations

1046 Ridge Ave SW
Atlanta, GA 30315
Phone (404) 564-6942

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

Interoperability endpoints

  • Direct secure messaging: guertone.sutton.p1@direct.smcmed.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1376138909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W HANCOCK ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613371",
            "telephone_number": "800-342-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W HANCOCK ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613371",
            "telephone_number": "800-342-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "GUERTONE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "235616",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "235616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "231 W Hancock St",
            "city": "Milledgeville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310613371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.