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MRS. TONYA LEE SUMNER FNP-C
NPI 1053837617
Nurse Practitioner - Family in Douglas, GA

Active since August 16, 2017PECOS Enrolled
203 SHIRLEY AVE, DOUGLAS, GA 31533(912) 384-7300 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2026, Nov 5, 2025, Oct 7, 2025 and 2 more (5 updates tracked since 2017).

About Mrs. Tonya Lee Sumner Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TONYA LEE SUMNER FNP-C (NPI 1053837617) is an individual family provider in Douglas, Georgia, licensed in Georgia (RN230362) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053837617
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TONYA LEE SUMNERCredential: FNP-C
Location Address203 SHIRLEY AVEDouglas, GA 31533-2356
Mailing Address203 Shirley AveDouglas, GA 31533-2356 · (912) 384-7300 · Fax (833) 989-2422
Phone(912) 384-7300
Sole ProprietorNo
Enumeration DateAugust 16, 2017
Last NPPES UpdateMay 1, 20265 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1053837617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN230362
203 SHIRLEY AVE, Douglas, GA 31533
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tonya Lee Sumner Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tonya Sumner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Douglas Medical & Surgical Group, PC
Same address
General Practice
203 SHIRLEY AVE
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • 3 clinicians in this Medicare group
NPI 1710205927 (912) 384-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
120 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABIGAIL MILLER FAMILY MEDICINE INC.
Family Medicine
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300
WILLIAM CHARLES MILLER JR. M.D.
General Practice
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300
DOUGLAS MEDICAL & SURGICAL GROUP, PC
General Practice
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300
ABIGAIL MILLER MD
Family Medicine
203 SHIRLEY AVE
DOUGLAS, GA 31533
Coffee County (912) 384-7300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonya Sumner's NPI number?

The NPI number for Tonya Sumner is 1053837617. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Tonya Sumner located?

Tonya Sumner practices at 203 Shirley Ave, Douglas, GA 31533. The listed phone number is (912) 384-7300.

What is Tonya Sumner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tonya Sumner enrolled in Medicare?

Yes. Tonya Sumner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tonya Sumner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Sumner reassigns Medicare benefits to Douglas Medical & Surgical Group, PC (Douglas, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Sumner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tonya Sumner was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.