Individual provider Active NPI

Todd Sumler, FNP

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1457600298
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN127085 Issued in GA
Practice address
415 Woodrow Wilson Drive
Valdosta, GA 31602
Phone
(229) 253-0780
Fax
(229) 253-0785
NPI assigned
Sep 7, 2012
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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 RN127085 GA Primary

Addresses

Primary practice location

415 Woodrow Wilson Drive
Valdosta, GA 31602

Mailing address

875 Bealuh Church Rd
Sparks, GA 31647
Phone (229) 546-5209

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
I20121114000631 GA Practitioner - Nurse Practitioner 1456502764 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear, Nose, and Throat Clinic of Coffee Co.Group PAC ID 4486698578, 11 clinicians
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

2016 Pineview Ave
Tifton, GA 31794-3035
Phone 91238422002222

312 Westside Dr
Douglas, GA 31533-3530
Phone (912) 384-2200

314 Westside Dr
Douglas, GA 31533-3530
Phone (912) 384-2200

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Dec 1, 2025 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Ear, Nose and Throat Clinic of Coffee Co. CurrentSince Apr 8, 2013 Accepting new patients
Parrott Medical Clinic PC CurrentSince Oct 8, 2012 Accepting new patients
Tift Regional Health System Inc. CurrentSince Dec 1, 2025 Accepting new patients
Westside Surgery Center, LLC Past Accepting new patients

Locations

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

312 Westside Dr
Douglas, GA 31533
Phone 9123842200222

2016 Pineview Ave
Tifton, GA 31794
Phone (229) 387-9205

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

804 Northwood Park Dr
Valdosta, GA 31602
Phone (229) 249-7888

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1457600298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BEALUH CHURCH RD",
            "city": "SPARKS",
            "state": "GA",
            "postal_code": "31647",
            "telephone_number": "229-546-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WOODROW WILSON DRIVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "31602",
            "telephone_number": "229-253-0780",
            "fax_number": "229-253-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMLER",
        "first_name": "TODD",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN127085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.