Individual provider Active NPI

Brittany Elaine O'Toole, FNP-BC

  • Family Nurse Practitioner
  • Summerville, GA
National Provider Identifier
1548928815
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239179 Issued in GA
Practice address
11638 Highway 27 Ste 8
Summerville, GA 30747-8515
Phone
(706) 907-0932
Fax
(706) 657-2958
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X RN239179 GA
Primary Care Nurse Practitioner 363LP2300X RN239179 GA
Family Nurse Practitioner 363LF0000X RN239179 GA Primary

Addresses

Primary practice location

11638 Highway 27 Ste 8
Summerville, GA 30747-8515

Mailing address

13570 N Main St
Trenton, GA 30752-2012
Phone (706) 956-2665

Other names 1

  • Mrs. Brittany Elaine O'Toole Professional name

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
I20231215003431 GA Order and Referring Only - Nurse Practitioner 0143600155

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1548928815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 N MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522012",
            "telephone_number": "706-956-2665",
            "fax_number": "706-657-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 HIGHWAY 27 STE 8",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307478515",
            "telephone_number": "706-907-0932",
            "fax_number": "706-657-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "BRITTANY",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "GA",
            "license": "RN239179",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN239179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "O'TOOLE",
            "middle_name": "ELAINE",
            "prefix": "MRS.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Summerville, GA

Sources for this page

Verify at the official NPI Registry.