Individual provider Active NPI

Vanessa Renee Christian, FNP-C

  • Family Nurse Practitioner
  • Leesburg, GA
National Provider Identifier
1891520995
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN296839 Issued in GA
Practice address
154 Saint Clair Dr
Leesburg, GA 31763-3225
Phone
(404) 729-8154
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 RN296839 GA Primary

Addresses

Primary practice location

154 Saint Clair Dr
Leesburg, GA 31763-3225

Mailing address

154 Saint Clair Dr
Leesburg, GA 31763-3225
Phone (404) 729-8154

Other names 1

  • Vanessa Renee Woodard Former 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
I20250925001583 GA Practitioner - Nurse Practitioner 2668977141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

84 E Oakland Ave
Camilla, GA 31730-1529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN296839GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Three Rivers Recovery and Wellness LLC CurrentSince Aug 18, 2025 Accepting new patients

Locations

84 E Oakland Ave
Camilla, GA 31730
Phone (229) 336-9769

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1891520995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 SAINT CLAIR DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633225",
            "telephone_number": "404-729-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 SAINT CLAIR DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317633225",
            "telephone_number": "404-729-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "VANESSA",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN296839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "WOODARD",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

Verify at the official NPI Registry.