Active NPI
Rosa M Austin, FNP
- Family Nurse Practitioner
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN328708
- Practice address
- 658 Northside Dr E Ste a
Statesboro, GA 30458-4828 - Phone
- (912) 764-9684
- Fax
- (912) 489-8676
- NPI assigned
- Nov 21, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN328708 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | 20400 | CA |
Addresses
Primary practice location
658 Northside Dr E Ste a
Statesboro, GA 30458-4828
Mailing address
PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7211
Other practice location 1
8110 Timberlake Way
Sacramento, CA 95823-5401
Phone (916) 689-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01212889 | Other | CA | RAILROAD MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rosa.austin.1@8824.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130515000616 | CA | Practitioner - Nurse Practitioner | 6800033606 | Reassigns benefits to 2 organizations |
| I20250116002541 | GA | Practitioner - Nurse Practitioner | 6800033606 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1497 Fair Rd
Statesboro, GA 30458-0823
658 Northside Dr E
Suite a
Statesboro, GA 30458-4828
Phone (912) 764-9684
Hospital & facility affiliations
- East Georgia Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN328708 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Physicians of California Medical Group Inc | Current | Accepting new patients | |
| East Georgia Hma Physician Management, LLC | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers, Inc | Past | Accepting new patients |
Locations
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1235 W Vine St
Ste 20
Lodi, CA 95240
Phone (209) 339-7600
2044 Fair St
Stockton, CA 95206
Phone (209) 420-3138
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000
658 Northside Dr E
Ste A
Statesboro, GA 30458
Phone (912) 764-9684
4451 Country Club Rd
Ste 3A
Statesboro, GA 30458
Phone (912) 764-2273
1449 Brampton Ave
Statesboro, GA 30458
Phone (912) 486-1163
1497 Fair Rd
Ste 103
Statesboro, GA 30458
Phone (912) 486-1163
Interoperability endpoints
- rosa.austin.1@8824.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Statesboro, GA
- NPI 1487983151
GA
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
CA
-
- Emergency Medicine Physician
- Delano, CA
- NPI 1447288345
CA
-
- Federally Qualified Health Center (FQHC)
- Stockton, CA
- NPI 1356723936
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Stockton, CA
- NPI 1558726786
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Statesboro, GA
- NPI 1265486278
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1831491091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689022",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370689022",
"telephone_number": "615-465-7211",
"fax_number": "615-628-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 NORTHSIDE DR E STE A",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304584828",
"telephone_number": "912-764-9684",
"fax_number": "912-489-8676"
}
],
"practiceLocations": [
{
"address_1": "8110 Timberlake Way",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958235401",
"country_code": "US",
"telephone_number": "916-689-4111",
"fax_number": "916-689-6620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "ROSA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-21",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN328708",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20400",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01212889",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rosa.austin.1@8824.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AMR Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "658 Northside Dr E Ste A",
"city": "Statesboro",
"state": "GA",
"country_code": "US",
"postal_code": "304584828",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.