Individual provider Active NPI

Rodney Kenneth Siau, FNP-C

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1639216344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN100140 Issued in GA
Practice address
803 N Jackson St
Albany, GA 31701-2313
Phone
(229) 435-0832
Fax
(229) 435-2857
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN100140 GA Primary

Addresses

Primary practice location

803 N Jackson St
Albany, GA 31701-2313

Mailing address

PO Box 71763
Albany, GA 31708-1763
Phone (229) 995-4832

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
I20130814000509 GA Practitioner - Nurse Practitioner 1759523129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Urology ClinicGroup PAC ID 2365423647, 7 clinicians

Practice addresses (Care Compare)

2400 Osler CT
Albany, GA 31707-0205
Phone (229) 883-1503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.94 of 100Reported as group
Quality
82.98
Improvement activities
40
Cost
82.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Urology Clinic CurrentSince Jan 11, 2023 Accepting new patients
Albany Urology Surgery Center LLC Past Accepting new patients
Synergy Anesthesiology Inc Past Accepting new patients

Locations

2400 Osler Ct
Albany, GA 31707
Phone (229) 449-1676

Interoperability endpoints

  • Direct secure messaging: rodneysiau@aucsc.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639216344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71763",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317081763",
            "telephone_number": "229-995-4832",
            "fax_number": "229-435-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012313",
            "telephone_number": "229-435-0832",
            "fax_number": "229-435-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAU",
        "first_name": "RODNEY",
        "middle_name": "KENNETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN100140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.