Individual provider Active NPI

Cynthia Fitzgerald, FNP

  • Family Nurse Practitioner
  • Vidalia, GA
National Provider Identifier
1669954848
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216494NP Issued in GA
Practice address
1707 Meadows LN Ste F
Vidalia, GA 30474-7201
Phone
(912) 537-9481
Fax
(912) 537-1380
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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 RN216494NP GA Primary

Addresses

Primary practice location

1707 Meadows LN Ste F
Vidalia, GA 30474-7201

Mailing address

1608 Meadows LN Ste 1
Vidalia, GA 30474-9907
Phone (912) 537-9488

Other practice location 1

1608 Meadows Ln Ste 1
Vidalia, GA 30474-9907
Phone (912) 537-9488 ext. 91253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN216494NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. F. Geoffery Conner PC PastSince Jul 1, 1991 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1669954848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 MEADOWS LN STE 1",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304749907",
            "telephone_number": "912-537-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MEADOWS LN STE F",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747201",
            "telephone_number": "912-537-9481",
            "fax_number": "912-537-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Meadows Ln Ste 1",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304749907",
            "country_code": "US",
            "telephone_number": "912-537-9488 x91253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CYNTHIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216494NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.