Individual provider Active NPI

Rosa M Austin, FNP

  • Family Nurse Practitioner
  • Statesboro, GA
National Provider Identifier
1831491091
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN328708 Issued in GA
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

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01212889OtherCARAILROAD MEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
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, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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
East Georgia Hma Physician Management LLCGroup PAC ID 7214068592, 42 clinicians

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 Hospital, Statesboro, GA, CCN 110075

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN328708GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physicians of California Medical Group Inc CurrentSince Dec 15, 2014 Accepting new patients
East Georgia Hma Physician Management, LLC CurrentSince Jan 2, 2025 Accepting new patients
Community Medical Centers Inc CurrentSince Feb 26, 2019 Accepting new patients
Community Medical Centers Inc CurrentSince Feb 26, 2019 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.