Individual provider Active NPI

Alexandra Byers Weathersby, FNP-C

  • Family Nurse Practitioner
  • Millen, GA
National Provider Identifier
1851790216
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN198560 Issued in GA
Practice address
1075 E Winthrope Ave
Millen, GA 30442-6766
Phone
(478) 249-1200
Fax
(478) 249-1203
NPI assigned
Aug 21, 2014
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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 RN198560 GA Primary

Addresses

Primary practice location

1075 E Winthrope Ave
Millen, GA 30442-6766

Mailing address

1075 E Winthrope Ave
Millen, GA 30442-6766
Phone (478) 249-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 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
I20150209001764 GA Practitioner - Nurse Practitioner 9830414168 Reassigns benefits to 1 organization
I20180228002516 SC Practitioner - Nurse Practitioner 9830414168 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN198560GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Healthcare Center, Inc. Current Accepting new patients
Eau Claire Cooperative Health Center, Inc. CurrentSince Dec 21, 2017 Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince Jan 5, 2024 Accepting new patients
Eau Claire Cooperative Health Center ,Inc. CurrentSince Dec 21, 2017 Accepting new patients
East Georgia Healthcare Center, Inc. CurrentSince Jan 5, 2024 Accepting new patients
Eau Claire Cooperative Health Center, Inc. Past Accepting new patients

Locations

1075 E Winthrope Ave
Millen, GA 30442
Phone (478) 237-2638

215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638

4605 Monticello Rd
Columbia, SC 29203
Phone (803) 252-7001

9023 Garners Ferry Rd
Hopkins, SC 29061
Phone (803) 978-1848

Interoperability endpoints

  • Direct secure messaging: alexandra.weathersby.p1@direct.familyhealthcare.nextgenshare.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, 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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1851790216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 E WINTHROPE AVE",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304426766",
            "telephone_number": "478-249-1200",
            "fax_number": "478-249-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E WINTHROPE AVE",
            "city": "MILLEN",
            "state": "GA",
            "postal_code": "304426766",
            "telephone_number": "478-249-1200",
            "fax_number": "478-249-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "ALEXANDRA",
        "middle_name": "BYERS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN198560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millen, GA

Sources for this page

Verify at the official NPI Registry.