Individual provider Active NPI

Ansley Poague, FNPC

  • Family Nurse Practitioner
  • Colquitt, GA
National Provider Identifier
1942724919
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN184713 Issued in GA
Practice address
103 W Pine St
Colquitt, GA 39837-3526
Phone
(229) 758-3002
Fax
(229) 758-9415
NPI assigned
Aug 1, 2017
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 RN184713 GA Primary

Addresses

Primary practice location

103 W Pine St
Colquitt, GA 39837-3526

Mailing address

112 N Cuthbert St
Colquitt, GA 39837-3419
Phone (229) 758-3002

Other names 1

  • Ansley Smith 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
I20190131003443 GA Practitioner - Nurse Practitioner 4486991247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Colquitt Complete Care LLCGroup PAC ID 9931182250, 4 clinicians

Practice addresses (Care Compare)

103 W Pine St
Colquitt, GA 39837-3526
Phone (229) 758-3002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN184713GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colquitt Complete Care LLC Single Specialty CurrentSince Sep 26, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Single Specialty Past Accepting new patients

Locations

103 W Pine St
Colquitt, GA 39837
Phone (229) 758-3002

112 N Cuthbert St
Colquitt, GA 39837

210 W Main St
Ste 4
Colquitt, GA 39837
Phone (229) 758-3002

Organizations & group practices 2

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.

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1942724919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373419",
            "telephone_number": "229-758-3002",
            "fax_number": "229-758-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W PINE ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373526",
            "telephone_number": "229-758-3002",
            "fax_number": "229-758-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAGUE",
        "first_name": "ANSLEY",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANSLEY",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colquitt, GA

Sources for this page

Verify at the official NPI Registry.