SUSAN B RILEY (NPI# 1407932361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407932361 |
| Entity Type | Individual |
| Full Name | SUSAN B RILEY |
| Credential | NP |
| Practice Address |
23702 Hwy 80 East Statesboro GA 30458 |
| Mailing Address |
23702 Hwy 80 East P.o. Box 957 Statesboro GA 30458 |
| Practice Telephone | 9124894090 |
| Mailing Telephone | 9124894090 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R91268 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00606119B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144886474 | Susan Marie Riley | Social Worker | 8700 Manchaca Rd Ste 303, Austin, TX 78748-5374 | 2019-05-13 |
| 1699029751 | Susan Riley | Home Health Aide | 7977 Locust Grove Ct, Springboro, OH 45066-7120 | 2012-10-28 |
| 1457533804 | Susan Jane Riley | Counselor | 14 Melado Dr, Santa Fe, NM 87508-2254 | 2007-11-28 |
| 1184783201 | Susan Kay Riley | Speech-Language Pathologist | 5724 Dunn Hall, Room 336 University of Maine, Orono, ME 04469-5724 | 2006-12-06 |
| 1285100297 | Susan T Riley | Nurse Practitioner | 275 Hobart St, Perth Amboy, NJ 08861-3396 | 2018-10-17 |
| 1679927172 | Susan Riley | Physical Therapist | 2500 Maryland Rd, Willow Grove, PA 19090-1216 | 2016-04-20 |
| 1184097149 | Susan Brenda Riley | Occupational Therapist | 70 Butler Street, Salem, NH 03079 | 2015-11-12 |
| 1265814875 | Susan Riley | Marriage & Family Therapist | 177 Bovet Rd, Suite 540, San Mateo, CA 94402-3116 | 2015-06-19 |
| 1528304326 | Susan Riley | Social Worker | 101 E Gate Ln, Hamden, CT 06514-2232 | 2012-12-26 |
| 1609052794 | Susan Mae Riley | Counselor | 228 Broadway St, Vallejo, CA 94590-4519 | 2008-01-18 |
| Street Address |
23702 HWY 80 EAST |
| City | STATESBORO |
| State | GA |
| Zip Code | 30458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821103482 | Christopher W Munger | Family Medicine | 23702 Hwy 80 East, Statesboro, GA 30458 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642218 | Youtherapy | Counselor | 430 Northside Dr East, Suite 160 Mb326, Statesboro, GA 30458 | 2019-01-07 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1740780006 | Michael Ryan Clark | Pharmacist | 556 Northside Drive, Statesboro, GA 30458 | 2018-02-13 |
| 1689186405 | Chandler James Herman | Specialist/Technologist | 590 Herty Dr., Statesboro, GA 30458 | 2017-11-02 |
| 1477009181 | Mama Doc Pediatrics, LLC | Pediatrics | 400 East Grady Street, Statesboro, GA 30458 | 2016-09-01 |
| 1053761171 | Rebekah Roessler | Specialist/Technologist | 2687 Akins Blvd, Statesboro, GA 30458 | 2016-06-20 |
| 1427412253 | Refocus Counseling and Consulting Services | Community/Behavioral Health | 4325 Country Club, 4, Statesboro, GA 30458 | 2016-04-07 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1760870398 | Jessica Pasternack | Specialist/Technologist | 2687 Akins Boulevard, Statesboro, GA 30458 | 2015-01-06 |
| 1922401629 | Nathan D'amico | Student in an Organized Health Care Education/Training Program | 15 W Grady Street Unit A, Statesboro, GA 30458 | 2014-10-08 |
| Find all providers in zip 30458 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014425 | Heather Sumner Herrin | Nurse Practitioner | 3024 Mccall Blvd, Statesboro, GA 30461-4919 | 2020-05-17 |
| 1235759895 | Health and Wellness PC | Nurse Practitioner | 1303 Sunset Cir, Statesboro, GA 30458-1575 | 2020-04-23 |
| 1619434917 | Kathryn Lynn Bowen-williams | Nurse Practitioner | 1800 Js Nesmith Rd, Statesboro, GA 30458-3613 | 2019-02-23 |
| 1306337332 | Phyllis Evon Solomon | Nurse Practitioner | 930 Teepee Way, Statesboro, GA 30461-6786 | 2018-05-25 |
| 1588185904 | Erica B Lanier | Nurse Practitioner | 5219 Williams Rd, Statesboro, GA 30458-0122 | 2017-07-06 |
| 1053849174 | Julie Laing Giardina | Nurse Practitioner | 7251 Zell Miller Pkwy, Statesboro, GA 30458-3487 | 2017-06-02 |
| 1700259108 | Melissa Beasley | Nurse Practitioner | 450 Georgia Ave Ste B, Statesboro, GA 30458-5590 | 2015-11-06 |
| 1023408523 | Kacy H. Nesmith | Nurse Practitioner | 1098 Bermuda Run, Suite 6, Statesboro, GA 30458 | 2015-02-04 |
| 1720428055 | Beverly B. Smith | Nurse Practitioner | 2331 Franklin Rd, Statesboro, GA 30461-7584 | 2013-07-01 |
| 1295081685 | Alan W Skipper | Nurse Practitioner | 127 N College St, Statesboro, GA 30458-5387 | 2012-08-03 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30458 |
Please comment or provide details below to improve the information on SUSAN B RILEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.