Individual provider Active NPI

Shae Gorman Rasmus, ARNP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1417780016
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP002543 Issued in GA
Practice address
3934 Woodruff Rd
Columbus, GA 31904-6818
Phone
(706) 332-0304
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 GAA-NP002543 GA Primary

Addresses

Primary practice location

3934 Woodruff Rd
Columbus, GA 31904-6818

Mailing address

3934 Woodruff Rd
Columbus, GA 31904-6818
Phone (706) 332-0304

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
I20241220000599 GA Practitioner - Nurse Practitioner 2668909268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizons Diagnostics, L.L.C.Group PAC ID 1951399724, 24 clinicians

Practice addresses (Care Compare)

3934 Woodruff Rd
Columbus, GA 31904-6818
Phone (706) 322-0304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GAA-NP002543GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Diagnostics, L.L.C. CurrentSince Nov 12, 2024 Accepting new patients
Horizons Diagnostics, L.L.C. CurrentSince Nov 12, 2024 Accepting new patients

Locations

106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555

106 Enterprise Ct
Ste C
Columbus, GA 31904
Phone (706) 221-6448

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1417780016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046818",
            "telephone_number": "706-332-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046818",
            "telephone_number": "706-332-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUS",
        "first_name": "SHAE",
        "middle_name": "GORMAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP002543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.