Individual provider Active NPI

Elizabeth Skinner, CPNP

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1578102711
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN193156 Issued in GA
Practice address
3031 Williams Rd
Columbus, GA 31909-5633
Phone
(706) 221-7139
NPI assigned
Jan 6, 2020
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN193156 GA Primary

Addresses

Primary practice location

3031 Williams Rd
Columbus, GA 31909-5633

Mailing address

959 17TH St
Columbus, GA 31901-1984
Phone (706) 507-9127

Other practice location 1

1110 13th St
Columbus, GA 31901-2246
Phone (706) 641-2462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN193156GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Center for Pediatric & Adolescent Health, LLC CurrentSince May 19, 2020 Accepting new patients

Locations

1110 13th St
Columbus, GA 31901
Phone (706) 494-8900

3031 Williams Rd
Columbus, GA 31909
Phone (706) 221-7139

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCHBA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1578102711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 17TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011984",
            "telephone_number": "706-507-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 WILLIAMS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319095633",
            "telephone_number": "706-221-7139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 13th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319012246",
            "country_code": "US",
            "telephone_number": "706-641-2462",
            "fax_number": "706-646-2172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ELIZABETH",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN193156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.