CMS NPPES uses NUCC taxonomy code 363LA2100X for provider records classified as Acute Care within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered,...
GA license #RN117801taxonomy 363LA2100X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.
Medicare specialties
Nurse Practitioner
Largest Medicare group
2 members
Largest listed enrollment group
Facility affiliations reported by CMS
Tiftarea Cardiology
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 194 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new acute care (nurse practitioner) provider has been added in Valdosta in the last 180 days.
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