Individual provider Active NPI

Susan F McLendon, APRN, CNS-BC

  • Community Health/Public Health Clinical Nurse Specialist
  • Metter, GA
National Provider Identifier
1629009501
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health/Public Health Clinical Nurse SpecialistTaxonomy code 364SC1501X
License
RN060662 Issued in GA
Practice address
10 Doctors St
Metter, GA 30439-3337
Phone
(912) 685-5715
NPI assigned
Jul 6, 2006
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X RN060662 GA Primary
Registered Nurse 163W00000X RN060662 GA

Addresses

Primary practice location

10 Doctors St
Metter, GA 30439-3337

Mailing address

PO Box 407
Vidalia, GA 30475-0407
Phone (912) 537-4986

Other practice location 1

110 R T Stanley Sr Pl
Lyons, GA 30436
Phone (912) 526-9355 ext. 310

Other identifiers 1

IdentifierTypeStateIssuer
000833962AMedicaidGA

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
I20170919001669 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 2466726146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

PO Box
Suite 597
Metter, GA 30439

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN060662GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Candler County CurrentSince Sep 1, 2023 Accepting new patients
Hospital Authority of Candler County Current Accepting new patients
Hospital Authority of Candler County CurrentSince Sep 1, 2023 Accepting new patients
Hospital Authority of Candler County Past Accepting new patients
Hospital Authority of Candler County Past Accepting new patients

Locations

10 Doctors St
Metter, GA 30439
Phone (912) 685-5715

400 Cedar St
Metter, GA 30439
Phone (912) 685-1726

637 S Lewis St
Metter, GA 30439
Phone (912) 685-1800

Interoperability endpoints

  • Direct secure messaging: susan.mclendon.1@23328.direct.athenahealth.com

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1629009501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304750407",
            "telephone_number": "912-537-4986",
            "fax_number": "912-524-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOCTORS ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393337",
            "telephone_number": "912-685-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 R T Stanley Sr Pl",
            "address_purpose": "LOCATION",
            "city": "Lyons",
            "state": "GA",
            "postal_code": "30436",
            "country_code": "US",
            "telephone_number": "912-526-9355 x310",
            "fax_number": "912-526-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLENDON",
        "first_name": "SUSAN",
        "middle_name": "F",
        "credential": "APRN, CNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "GA",
            "license": "RN060662",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN060662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000833962A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

Sources for this page

Verify at the official NPI Registry.