Active NPI
Faith Causbey, NP
- Basic Emergency Medical Technician
- Tifton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 112129
- Practice address
- 901 E 18TH St
Tifton, GA 31794 - Phone
- (229) 353-6208
- Fax
- (229) 353-7722
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 112129 | GA | Primary |
| Nurse Practitioner | 363L00000X | RN112129 | GA |
Addresses
Primary practice location
901 E 18TH St
Tifton, GA 31794
Mailing address
901 E 18TH St
Tifton, GA 31794
Phone (229) 353-6208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112129 | Other | GA | LICENSE NUMBER |
| 000936438B | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112129 | GA | MD | Basic Emergency Medical Technician |
| RN112129 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Phoebe Neurology | Current | Accepting new patients | |
| Montgomery Emergency Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| Southwestern Emergency Physicians PC | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
2000 Palmyra Rd
Albany, GA 31701
Phone (229) 434-2000
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
Interoperability endpoints
- faith.causbey.1@8478.direct.athenahealth.com
- faith.causbey@phoebehealth.gadirect.net
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.
-
- Emergency Medicine Physician
- Vidalia, GA
- NPI 1861773764
Nurse Practitioner
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
dba Phoebe Putney Memorial Hosptial
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Neurology Physician
- Albany, GA
- NPI 1407176647
-
dba Phoebe Specialty Pharmacy
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
-
- Emergency Medicine Physician
- Albany, GA
- NPI 1356336986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1699867770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 18TH ST",
"city": "TIFTON",
"state": "GA",
"postal_code": "31794",
"telephone_number": "229-353-6208",
"fax_number": "229-353-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E 18TH ST",
"city": "TIFTON",
"state": "GA",
"postal_code": "31794",
"telephone_number": "229-353-6208",
"fax_number": "229-353-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUSBEY",
"first_name": "FAITH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "GA",
"license": "112129",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN112129",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "112129",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000936438B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.