Alyssa Taft, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN248132 Issued in GA

Practice address

1100 Ocilla Rd
Douglas, GA 31533-2206

Phone

(912) 383-7884

NPI assigned

Sep 25, 2018

Last updated

Jan 25, 2025By 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 2

Addresses

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

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lookout Mountain Community ServicesGroup PAC ID 4880682822, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alyssa.taft.1@16273.direct.athenahealth.com

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.

• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1790782431
  Medicare reassignment Care Compare group NPD
• Douglas Internal Medicine P.C.

  • Internal Medicine Physician
  • Douglas, GA
  • NPI 1275542953
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Psychiatric/Mental Health

  Medicare reassignment NPD
• Lookout Mountain Community Services

  • Community/Behavioral Health Agency
  • La Fayette, GA
  • NPI 1386716124
  NPD

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1487138590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PEPPERCORN RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315354949",
            "telephone_number": "912-309-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 OCILLA RD",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332206",
            "telephone_number": "912-383-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "ALYSSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248132",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN248132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Lee Sumner, FNP-C
• Benjamin Swafford
• Swain Drug Company LLC (Swain's Pharmacy)
• Swain Drug Company LLC (Swain's Long-Term Care Pharmacy)
• Jared William Swain, PHARMD
• Tanner Optical, Inc. (Murphy Eye Center)
• Diana June Tanner
• Lydia Chaney Tanner, M.D.
• Marshall Glynn Tanner, M.D.
• Aubreyanna Taylor, MSN, FNP-BC

• Family Nurse Practitioner in Douglas, GA
• Providers in Douglas, 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 Jan 25, 2025; 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.