Casidy Enfinger, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN144558 Issued in GA

Practice address

725 US Highway 19 S
Camilla, GA 31730-6396

Phone

(229) 336-5208

NPI assigned

Sep 3, 2008

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Albany Medical College of Union University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: casidy.enfinger.1@8478.direct.athenahealth.com
• Direct secure messaging: casidy.enfinger@gadirect.net
• Direct secure messaging: casidy.enfinger@phoebehealth.gadirect.net

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.

• Phoebe Physician Group, Inc

  • Clinic/Center
  • Albany, GA
  • NPI 1487899464
  Medicare reassignment Care Compare group NPD
• Primary Care of Southwest Georgia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Blakely, GA
  • NPI 1780607754

  Family Medicine

  NPD

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1386892446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 COLLEGE ST",
            "city": "BLAKELY",
            "state": "GA",
            "postal_code": "398232554",
            "telephone_number": "229-723-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 US HIGHWAY 19 S",
            "city": "CAMILLA",
            "state": "GA",
            "postal_code": "317306396",
            "telephone_number": "229-336-5208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 College St",
            "address_purpose": "LOCATION",
            "city": "Blakely",
            "state": "GA",
            "postal_code": "398232554",
            "country_code": "US",
            "telephone_number": "229-723-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENFINGER",
        "first_name": "CASIDY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN144558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN144558",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Raymond J Otis Sr PC (Camilla Family Medicine)
• William Charles Dunn, PHARMD
• Tashema Durn
• Crystal Edmonds
• Joseph Ellinger
• Englewood Health Systems, Inc.
• Charles Edward Evans III, P.T.A.
• Eye Partners PC
• Skyler Faircloth
• Ellery Farrell

• Family Nurse Practitioner in Camilla, GA
• Providers in Camilla, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.