Individual provider Active NPI

Delia Webster Collins, N.P.

  • Family Nurse Practitioner
  • Pooler, GA
National Provider Identifier
1619255478
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN175975 Issued in GA
Practice address
107 Canal St
Pooler, GA 31322-4016
Phone
(912) 450-1945
Fax
(912) 450-1949
NPI assigned
Jul 28, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN175975 GA Primary

Addresses

Primary practice location

107 Canal St
Pooler, GA 31322-4016

Mailing address

107 Canal Street
Pooler, GA 31322-4016
Phone (912) 450-1945

Other identifiers 1

IdentifierTypeStateIssuer
RN175975OtherGALICENSE NUMBER

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
I20110817000622 GA Practitioner - Nurse Practitioner 6406025923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

361 Commercial Dr
Savannah, GA 31406-3659
Phone (912) 355-6221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skidaway Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 1, 2019 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince May 1, 2019 Accepting new patients
Skidaway Medical Group LLC CurrentSince Mar 1, 2022 Accepting new patients
Advanced Pediatric Specialists LLC Past Accepting new patients

Locations

64 Oracal Pkwy
Bldg 1
Ellabell, GA 31308
Phone (912) 214-7920

780 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 332-7262

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

107 Canal St
Pooler, GA 31322
Phone (912) 450-1945

13314 Highway 144
Ste C
Richmond Hill, GA 31324
Phone (912) 910-2010

3866 Belfast Keller Rd
Bldg A
Richmond Hill, GA 31324
Phone (912) 910-2720

5621 Highway 21 S
Rincon, GA 31326
Phone (912) 295-5860

212 Johnny Mercer Blvd
#B
Savannah, GA 31410
Phone (912) 201-1140

310 Eisenhower Dr
Ste 12A
Savannah, GA 31406
Phone (912) 201-1140

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

361 Commercial Dr
#F
Savannah, GA 31406
Phone (912) 355-2400

5730 Ogeechee Rd
Ste 192
Savannah, GA 31405
Phone (912) 201-1140

1096 Bermuda Run
Statesboro, GA 30458
Phone (912) 871-5150

3 Progressive St
Bluffton, SC 29910
Phone (843) 548-0533

Organizations & group practices 5

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": "1311811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1619255478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CANAL STREET",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224016",
            "telephone_number": "912-450-1945",
            "fax_number": "912-450-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CANAL ST",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224016",
            "telephone_number": "912-450-1945",
            "fax_number": "912-450-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DELIA",
        "middle_name": "WEBSTER",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-28",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN175975",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.