Individual provider Active NPI

Sally Lee Arnold, APRN

  • Family Nurse Practitioner
  • Bonaire, GA
National Provider Identifier
1437580255
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN169765 Issued in GA
Practice address
201 Southfield CT
Bonaire, GA 31005-3538
Phone
(478) 429-5929
Fax
(833) 764-6064
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN169765 GA Primary
Nurse Practitioner 363L00000X RN169765 GA
Registered Nurse 163W00000X RN169765 GA

Addresses

Primary practice location

201 Southfield CT
Bonaire, GA 31005-3538

Mailing address

201 Southfield CT
Bonaire, GA 31005-3538
Phone (478) 973-1649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140407001015 GA Practitioner - Nurse Practitioner 0749412799 Reassigns benefits to 2 organizations
I20230427002670 SC Practitioner - Nurse Practitioner 0749412799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Blue Robin Abiding Medical InnovationsGroup PAC ID 4385138809, 2 clinicians

Practice addresses (Care Compare)

201 Southfield CT
Bonaire, GA 31005-3538
Phone (478) 973-1649

Hospital & facility affiliations

  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

Merit-based Incentive Payment System (MIPS)

Final score
86.03 of 100Reported as group
Quality
79.32
Improvement activities
40
Cost
54.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN169765GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Robin Abiding Medical Innovations CurrentSince Nov 1, 2025 Accepting new patients
Truhealth, LLC Nurse Practitioner CurrentSince Dec 15, 2025 Accepting new patients

Locations

325 Allen Memorial Dr SW
Milledgeville, GA 31061
Phone (478) 453-8514

545 Cook St
Royston, GA 30662
Phone (706) 245-1230

Interoperability endpoints

  • Direct secure messaging: sally.round.1@14489.direct.athenahealth.com

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.

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": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1437580255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTHFIELD CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053538",
            "telephone_number": "478-973-1649",
            "fax_number": "478-215-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SOUTHFIELD CT",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053538",
            "telephone_number": "478-429-5929",
            "fax_number": "833-764-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "SALLY",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN169765",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN169765",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN169765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonaire, GA

Sources for this page

Verify at the official NPI Registry.