Active NPI
Toni R. Guzi, N.P.
- Adult Health Nurse Practitioner
- Fayetteville, GA
National Provider Identifier
1821008194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN212085
- Practice address
- 1260 Highway 54 West, Suite 101
Fayette Care Clinic
Fayetteville, GA 30214 - Phone
- (770) 719-4620
- Fax
- (770) 719-4622
- NPI assigned
- Aug 9, 2006
- Last updated
- Aug 6, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN212085 | GA | Primary |
Addresses
Primary practice location
1260 Highway 54 West, Suite 101
Fayette Care Clinic
Fayetteville, GA 30214
Mailing address
225 Woodstream Way
Fayetteville, GA 30214
Phone (917) 842-4287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02637034 | Medicaid | NY |
Other names 1
- Toni R. Guzi Saccavino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302469 | NY | MD | Psychiatry Physician |
| RN212085 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1821008194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 WOODSTREAM WAY",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30214",
"telephone_number": "917-842-4287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 HIGHWAY 54 WEST, SUITE 101",
"address_2": "FAYETTE CARE CLINIC",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30214",
"telephone_number": "770-719-4620",
"fax_number": "770-719-4622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZI",
"first_name": "TONI",
"middle_name": "R.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN212085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02637034",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONI",
"last_name": "GUZI SACCAVINO",
"middle_name": "R.",
"credential": "N.P.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.