Individual provider Active NPI

Nathan Wade, FNP

  • Family Nurse Practitioner
  • Greensboro, GA
National Provider Identifier
1689057754
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP220439 Issued in GA
Practice address
803 S Main St
Greensboro, GA 30642-1211
Phone
(706) 453-1201
Fax
(706) 999-3221
NPI assigned
Jul 7, 2015
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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 APRN-NP220439 GA Primary

Addresses

Primary practice location

803 S Main St
Greensboro, GA 30642-1211

Mailing address

803 S Main St
Greensboro, GA 30642-1211
Phone (706) 453-1201

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
I20150916002539 GA Practitioner - Nurse Practitioner 5991012437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgia College of Eclectric Medicine and Surgery, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconee Valley Healthcare IncGroup PAC ID 0446232268, 21 clinicians

Practice addresses (Care Compare)

510 N Cobb St
Milledgeville, GA 31061-2635
Phone (478) 414-1414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP220439GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Valley Healthcare Inc Current Accepting new patients
Oconee Valley Healthcare Inc Current Accepting new patients
Oconee Valley Healthcare Inc Current Accepting new patients
Oconee Valley Healthcare Inc CurrentSince Jul 7, 2015 Accepting new patients
Oconee Valley Healthcare Inc CurrentSince Jul 7, 2015 Accepting new patients
Oconee Valley Healthcare Inc Current Accepting new patients

Locations

1040 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945

1041 Park Dr
Greensboro, GA 30642
Phone (706) 453-4945

803 S Main St
Greensboro, GA 30642
Phone (706) 453-1201

510 N Cobb St
Milledgeville, GA 31061
Phone (478) 414-1414

60 GA Highway 22 W
Milledgeville, GA 31061
Phone (478) 414-1414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15507/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nathan.wade.1@15507.direct.athenahealth.com

Organizations & group practices 6

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 3

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1689057754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-453-1201",
            "fax_number": "706-999-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306421211",
            "telephone_number": "706-453-1201",
            "fax_number": "706-999-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "NATHAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-07",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP220439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.