Individual provider Active NPI

Vonteena Gizelle Cutter, NP

  • Family Nurse Practitioner
  • Warner Robins, GA
National Provider Identifier
1396354619
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN293740 Issued in GA
Practice address
237 Smithville Church Rd Ste 100
Warner Robins, GA 31088-7803
Phone
(478) 238-5513
Fax
(478) 254-3412
NPI assigned
Jul 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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 RN293740 GA Primary

Addresses

Primary practice location

237 Smithville Church Rd Ste 100
Warner Robins, GA 31088-7803

Mailing address

237 Smithville Church Rd Ste 100
Warner Robins, GA 31088-7803
Phone (478) 238-5513

Other names 1

  • Miss Vonteena Gizelle Knotts Former name

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
I20231025003214 GA Practitioner - Nurse Practitioner 3476909565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 W Martin Luther King Blvd
Suite 1000
Chattanooga, TN 37402-2571

42 Marvin Dr
Kings Park, NY 11754-4739

5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443

7445 Glisten Ave
Sandy Springs, GA 30328-2141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Wound Care Medical Group CurrentSince Oct 9, 2023 Accepting new patients

Locations

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

2045 Peachtree Rd NE
Ste 410
Atlanta, GA 30309
Phone (470) 768-8600

Organizations & group practices 3

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": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1396354619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 SMITHVILLE CHURCH RD STE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887803",
            "telephone_number": "478-238-5513",
            "fax_number": "478-254-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SMITHVILLE CHURCH RD STE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887803",
            "telephone_number": "478-238-5513",
            "fax_number": "478-254-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTTER",
        "first_name": "VONTEENA",
        "middle_name": "GIZELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN293740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VONTEENA",
            "last_name": "KNOTTS",
            "middle_name": "GIZELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.