Individual provider Active NPI

Susan Meredith Debey, NP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1619281680
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN137169 Issued in GA
Practice address
240 Sheraton Blvd
Macon, GA 31210-1358
Phone
(478) 633-8700
Fax
(478) 633-8710
NPI assigned
Aug 2, 2010
Last updated
Aug 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 RN137169 GA Primary

Addresses

Primary practice location

240 Sheraton Blvd
Macon, GA 31210-1358

Mailing address

240 Sheraton Blvd Ste 290
Macon, GA 31210-1358
Phone (478) 633-8400

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
I20110526000564 GA Practitioner - Nurse Practitioner 3779760889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services of Central GeorgiaGroup PAC ID 9638076730, 300 clinicians

Practice addresses (Care Compare)

1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600

240 Sheraton Blvd
Macon, GA 31210-1358
Phone (478) 633-8700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Dec 1, 2019 Accepting new patients
Synergetic Healings LLC Past Accepting new patients

Locations

240 Sheraton Blvd
Macon, GA 31210
Phone (478) 471-1943

240 Sheraton Blvd
Ste 290
Macon, GA 31210
Phone (478) 633-8400

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Interoperability endpoints

  • Direct secure messaging: sdebey433152@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1619281680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SHERATON BLVD STE 290",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101358",
            "telephone_number": "478-633-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 SHERATON BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101358",
            "telephone_number": "478-633-8700",
            "fax_number": "478-633-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBEY",
        "first_name": "SUSAN",
        "middle_name": "MEREDITH",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN137169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.