Active NPI
Sandra Nichole McNeal, FNP-C
- Family Nurse Practitioner
- Eastman, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN-NPI212138
- Practice address
- 821 Plaza Ave
Eastman, GA 31023-6757 - Phone
- (478) 220-5545
- Fax
- (478) 220-5509
- NPI assigned
- Aug 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN-NPI212138 | GA | Primary |
Addresses
Primary practice location
821 Plaza Ave
Eastman, GA 31023-6757
Mailing address
821 Plaza Ave
Eastman, GA 31023-6757
Phone (478) 220-5545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN212138 | Other | GA | ADVANCE PRACTICE NP LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170419002547 | GA | Practitioner - Nurse Practitioner | 3274819651 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
821 Plaza Ave
Eastman, GA 31023-6757
Phone (478) 220-5545
Hospital & facility affiliations
- Dodge County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN-NPI212138 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Systems, Inc | Current | Accepting new patients | |
| Community Health Care Systems, Inc. | Current | Accepting new patients | |
| Eastman Medical Clinic LLC | Current | Accepting new patients |
Locations
821 Plaza Ave
Eastman, GA 31023
Phone (478) 220-5545
280 E Willow Creek Ln
Mc Rae Helena, GA 31055
Phone (229) 868-0017
2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/dodge-ab251eb5
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.
-
- Federally Qualified Health Center (FQHC)
- Wrightsville, GA
- NPI 1932150422
GA
-
- Federally Qualified Health Center (FQHC)
- Sandersville, GA
- NPI 1184515694
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": "1470182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1508319856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236757",
"telephone_number": "478-220-5545",
"fax_number": "478-220-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 PLAZA AVE",
"city": "EASTMAN",
"state": "GA",
"postal_code": "310236757",
"telephone_number": "478-220-5545",
"fax_number": "478-220-5509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "SANDRA",
"middle_name": "NICHOLE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-03",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "APRN-NPI212138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCE PRACTICE NP LICENSE",
"identifier": "RN212138",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eastman, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.