Dino Vincent Soriano Sr., RN MSN HSA FNP-C
Individual provider Active NPI Family Nurse Practitioner · Guyton, GA
NPI 1992999759 · NPPES record last updated Feb 3, 2020
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2020.
Key facts
- NPI
- 1992999759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN.19059 (SC)
- Practice address
- 171 Clover Point Cir
Guyton, GA 31312-7134 - Phone
- (407) 702-8095
- Fax
- (866) 419-0621
- NPI assigned
- Sep 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19059 | SC | MD | Family Medicine Physician |
| ARNP 9254322 | FL | MD | Family Nurse Practitioner |
| APRN218133 | GA | MD | Family Nurse Practitioner |
| APN.19059 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NP Nation Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.19059 | SC | Yes |
| Emergency Registered Nurse | 163WE0003X | RN218133 | GA | |
| Family Nurse Practitioner | 363LF0000X | ARNP 9254322 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN218133 | GA |
Addresses
Primary practice location
171 Clover Point Cir
Guyton, GA 31312-7134
Mailing address
171 Clover Point Cir
Guyton, GA 31312-7134
Phone (407) 702-8095
Other providers in Guyton, GA
- Mary K Schaffer
- Annetta Scott
- Sarah R Skidmore-Crosby
- Alison Jeaneen Smith
- Soriano Medical Services Inc
- Lynn Sparling
- Harley Strickland
- Tanja Supon-Clause
- Ashley Meghan Swartz
- Sydnee Hope Taylor
All providers in Guyton, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.