Individual provider Active NPI

Mandi Rebecca Purcell

  • Nurse Practitioner
  • Swainsboro, GA
National Provider Identifier
1750151197
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN154114 Issued in GA
Practice address
117 Kite Rd
Swainsboro, GA 30401-3231
Phone
(478) 289-1100
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN154114 GA Primary

Addresses

Primary practice location

117 Kite Rd
Swainsboro, GA 30401-3231

Mailing address

114 Hicks Ave
Swainsboro, GA 30401-4923
Phone (478) 494-1978

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
I20240212002132 GA Practitioner - Nurse Practitioner 6305820259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanuel County Hospital AuthorityGroup PAC ID 3577473040, 40 clinicians
Emanuel Prompt CareGroup PAC ID 4385172428, 5 clinicians

Practice addresses (Care Compare)

119 B Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 237-7676

125 A Victory Dr
Swainsboro, GA 30401-3234
Phone (478) 289-3190

5 Medical Office Way
Swainsboro, GA 30401-3262
Phone (478) 237-2238

Hospital & facility affiliations

  • Emanuel Medical Center Hospital, Swainsboro, GA, CCN 110109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emanuel Prompt Care CurrentSince Sep 23, 2024 Accepting new patients
Emanuel County Hospital Authority CurrentSince Feb 1, 2024 Accepting new patients
Emanuel County Hospital Authority Current Accepting new patients

Locations

5 Medical Office Way
Swainsboro, GA 30401
Phone (478) 237-2238

131 Victory Dr
#C
Swainsboro, GA 30401

117 Kite Rd
Swainsboro, GA 30401
Phone (248) 972-8725

Interoperability endpoints

  • Direct secure messaging: mandi.purcell@emcsim.eclinicaldirectplus.com

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1750151197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HICKS AVE",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304014923",
            "telephone_number": "478-494-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KITE RD",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013231",
            "telephone_number": "478-289-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURCELL",
        "first_name": "MANDI",
        "middle_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN154114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

Verify at the official NPI Registry.