Active NPI
Sybil Stone Weitzel, NP
- Family Nurse Practitioner
- Sharpsburg, GA
National Provider Identifier
1972772697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN051662
- Practice address
- 20 Francis Way
Suite 101
Sharpsburg, GA 30277 - Phone
- (770) 253-0611
- Fax
- (770) 502-0521
- NPI assigned
- Feb 27, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN051662 | GA | Primary |
Addresses
Primary practice location
20 Francis Way
Suite 101
Sharpsburg, GA 30277
Mailing address
20 Francis Way
Suite 101
Sharpsburg, GA 30277
Phone (770) 253-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 753554549GHI | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN051662 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1972772697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FRANCIS WAY",
"address_2": "SUITE 101",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "30277",
"telephone_number": "770-253-0611",
"fax_number": "770-502-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 FRANCIS WAY",
"address_2": "SUITE 101",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "30277",
"telephone_number": "770-253-0611",
"fax_number": "770-502-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZEL",
"first_name": "SYBIL",
"middle_name": "STONE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-27",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN051662",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "753554549GHI",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sharpsburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.