Susan K. Exley, APRN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN080817 Issued in GA

Practice address

4425 Paulsen St
Savannah, GA 31405-3662

Phone

(912) 355-6615

Fax

(912) 351-0645

NPI assigned

Jul 31, 2007

Last updated

Aug 3, 2015By 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 1

Addresses

Other identifiers 3

Other names 1

• Susan K. Daugherty Former name

Medicare fee-for-service enrollment

Enrolled in GA, WI2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Effingham Orthopedic Practice, LLC

  dba Effingham Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Rincon, GA
  • NPI 1013459551
  Medicare reassignment NPD
• Ascension Medical Group-Southeast Wisconsin Inc

  dba Ascension Medical Group

  • Internal Medicine Physician
  • Glendale, WI
  • NPI 1609881077
  Medicare reassignment NPD
• Chatham Orthopaedic Associates, PA

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1366495814
  NPD (past)
• Vein Specialists

  • Vascular Surgery Physician
  • Bonita Springs, FL
  • NPI 1285062935
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1518157023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615",
            "fax_number": "912-351-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXLEY",
        "first_name": "SUSAN",
        "middle_name": "K.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN080817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1799",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "595166",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042039204B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "DAUGHERTY",
            "middle_name": "K.",
            "credential": "APRN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Everett E. Tolbert (E. Tolbert Counseling and Consulting, LLC)
• Martin Edward Everhard, M.D.
• Janet Everly
• Everyday Diabetes Center, LLC
• Jessica Nichole Ewalt, CRNA
• Expert Breast Imaging LLC, (Expert Breast Imaging)
• Expert Hearing, LLC
• Express Drugs of Savannah LLC (Express Drugs HealthMart Pharmacy)
• Eye Consultants of Savannah LLC (Eye Consultants of Savannah)
• Eyemart Express LLC

• Adult Health Nurse Practitioner in Savannah, GA
• Providers in Savannah, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.