Individual provider Active NPI

Betsy Janice Colquitt, FNP-C

  • Family Nurse Practitioner
  • Sparta, GA
National Provider Identifier
1770012015
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN084987 Issued in GA
Practice address
675 Hamilton St
Sparta, GA 31087-1837
Phone
(706) 444-5242
Fax
(706) 444-7302
NPI assigned
Jun 9, 2017
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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 RN084987 GA Primary

Addresses

Primary practice location

675 Hamilton St
Sparta, GA 31087-1837

Mailing address

279 Napier Rd
Eatonton, GA 31024-6832
Phone (478) 968-7776

Other identifiers 1

IdentifierTypeStateIssuer
RN084987OtherGAFNP-C

Other names 1

  • Mrs. Betsy Janice Colquitt Professional name

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
I20180103002582 GA Practitioner - Nurse Practitioner 3577821149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc CurrentSince Nov 13, 2017 Accepting new patients
Community Health Care Systems, Inc. CurrentSince Nov 13, 2017 Accepting new patients

Locations

675 Hamilton St
Sparta, GA 31087
Phone (706) 444-5241

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1770012015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 NAPIER RD",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246832",
            "telephone_number": "478-968-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 HAMILTON ST",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "310871837",
            "telephone_number": "706-444-5242",
            "fax_number": "706-444-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUITT",
        "first_name": "BETSY",
        "middle_name": "JANICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN084987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP-C",
            "identifier": "RN084987",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "COLQUITT",
            "middle_name": "JANICE",
            "prefix": "MRS.",
            "credential": "BETSY COLQUITT FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sparta, GA

Sources for this page

Verify at the official NPI Registry.