Summer Nicole Nettles, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN249898 Issued in GA

Practice address

116 S Houston Rd
Warner Robins, GA 31088-3904

Phone

(478) 923-0131

Fax

(478) 922-6530

NPI assigned

Sep 13, 2023

Last updated

Sep 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornerstone Medical Assoc., LLC

  • Pediatrics Physician
  • Perry, GA
  • NPI 1275575888
  NPD (past)
• Pediatric Care After Hours

  • Pediatrics Physician
  • Warner Robins, GA
  • NPI 1619155751
  NPD (past)

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1740067503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8818",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958818",
            "telephone_number": "478-333-6532",
            "fax_number": "478-953-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S HOUSTON RD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883904",
            "telephone_number": "478-923-0131",
            "fax_number": "478-922-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLES",
        "first_name": "SUMMER",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN249898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Nauss, CFOM
• Navid Reza Khoshooee OD LLC
• Erika Naylor
• Leah G Neff, SLP
• Lesley Amanda Nelson, L.M.S.W.
• New Beginning Family Services, Inc.
• New Beginning Intervention Services
• New Insights Community Services LLC
• New Perspectives
• Dane K Newby, ATC

• Family Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.