MRS. BETTYE BOGGS-COSTIC LPN
NPI 1194128165
Licensed Practical Nurse in Brunswick, GA

Active since October 03, 2014
2747 4TH ST, BRUNSWICK, GA 31520(912) 264-3961(912) 265-8837 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Bettye Boggs-costic Lpn NPPES

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

MRS. BETTYE BOGGS-COSTIC LPN (NPI 1194128165) is an individual licensed practical nurse in Brunswick, Georgia, licensed in Georgia (LPN019053) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1194128165
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. BETTYE BOGGS-COSTICCredential: LPN
Location Address2747 4TH STBrunswick, GA 31520-3714
Mailing Address2747 4th StBrunswick, GA 31520-3714 · (912) 264-3961 · Fax (912) 265-8837
Fax(912) 265-8837
Sole ProprietorNo
Enumeration DateOctober 3, 2014
NPI 1194128165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in GA · LPN019053
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2747 4TH ST, Brunswick, GA 31520

Other Providers at the Same Location NPPES 20

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

Licensed Practical Nurse
2747 4TH ST
BRUNSWICK, GA 31520
Nurse Practitioner (Family)
2747 4TH ST
BRUNSWICK, GA 31520
Clinic/Center (Federally Qualified Health Center (FQHC))
2747 4TH ST
BRUNSWICK, GA 31520
Registered Nurse
2747 4TH ST
BRUNSWICK, GA 31520
Public Health or Welfare
2747 4TH ST
BRUNSWICK, GA 31520
Nurse Practitioner (Family)
2747 4TH ST
BRUNSWICK, GA 31520
Registered Nurse
2747 4TH ST
BRUNSWICK, GA 31520
Registered Nurse
2747 4TH ST
BRUNSWICK, GA 31520

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 Bettye Boggs-costic's NPI number?

The NPI number for Bettye Boggs-costic is 1194128165. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Bettye Boggs-costic located?

Bettye Boggs-costic practices at 2747 4th St, Brunswick, GA 31520. The listed phone number is (912) 264-3961.

What is Bettye Boggs-costic's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Bettye Boggs-costic was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.