Active NPI
Susan J Montford, ARNP, FNP-C
- Nurse Practitioner
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN146160
- Practice address
- 3193 E 1St St
Vidalia, GA 30474-8830 - Phone
- (912) 537-8588
- NPI assigned
- Feb 17, 2020
- Last updated
- Apr 4, 2025
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN146160 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN149160 | GA |
Addresses
Primary practice location
3193 E 1St St
Vidalia, GA 30474-8830
Mailing address
700 Mitchell Dr
Vidalia, GA 30474-9319
Phone (912) 423-1323
Other practice location 1
1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone (912) 535-5555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CAQH | Direct |
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3193 E 1St St
Vidalia, GA 30474-8830
Phone (912) 537-8588
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN146160 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peachtree Immediate Care FP, LLC | Current | Accepting new patients | |
| Montgomery Emergency Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Applecare Memorial Immediate Care Joint Venture LLC | Current | Accepting new patients | |
| Accordia Healthcare LLC | Current | Accepting new patients |
Locations
590 Lanier Ave W
Fayetteville, GA 30214
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
14089 Abercorn St
Savannah, GA 31419
Phone (912) 349-4945
1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429
3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588
1205 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 302-5729
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Primary Care Clinic/Center
- Vidalia, GA
- NPI 1962826511
-
- Urgent Care Clinic/Center
- Savannah, GA
- NPI 1962817601
-
- Emergency Medicine Physician
- Vidalia, GA
- NPI 1861773764
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1750914925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 MITCHELL DR",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304749319",
"telephone_number": "912-423-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3193 E 1ST ST",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748830",
"telephone_number": "912-537-8588"
}
],
"practiceLocations": [
{
"address_1": "1 Meadows Pkwy",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "GA",
"postal_code": "304748759",
"country_code": "US",
"telephone_number": "912-535-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTFORD",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "ARNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN146160",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN149160",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "CAQH",
"affiliation": "N",
"endpointDescription": "CAQH ProView is an online provider data-collection solution",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "Accordia Urgent Care & Family Practice",
"address_2": "3193 E 1st St",
"city": "VIDALIA",
"state": "GA",
"country_code": "US",
"postal_code": "304743047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.