SUSAN RACHEL ETHRIDGE FNP
NPI 1316922206
Nurse Practitioner - Family in Ashburn, GA

Active since December 13, 2005PECOS Enrolled
235 E WASHINGTON AVE, ASHBURN, GA 31714(229) 778-9216(229) 778-9218 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Jan 29, 2016 (2 updates tracked since 2016).

About Susan Rachel Ethridge Fnp NPPES

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

SUSAN RACHEL ETHRIDGE FNP (NPI 1316922206) is an individual family provider in Ashburn, Georgia, licensed in Georgia (RN076629) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316922206
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN RACHEL ETHRIDGECredential: FNP
Location Address235 E WASHINGTON AVEAshburn, GA 31714-5224
Mailing Address235 E Washington AveAshburn, GA 31714-5224 · (229) 638-6448
Fax(229) 778-9218
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateJune 2, 20212 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
NPI 1316922206 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 · RN076629
235 E WASHINGTON AVE, Ashburn, GA 31714

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan Rachel Ethridge Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31714 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 27 patients
100%36 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$14.76 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier74 claims74 services$94.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
235 E WASHINGTON AVE
ASHBURN, GA 31714
Clinic/Center (Primary Care)
235 E WASHINGTON AVE
ASHBURN, GA 31714
Clinic/Center (Primary Care)
235 E WASHINGTON AVE
ASHBURN, GA 31714
Nurse Practitioner (Family)
235 E WASHINGTON AVE
ASHBURN, GA 31714

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 Susan Ethridge's NPI number?

The NPI number for Susan Ethridge is 1316922206. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Susan Ethridge located?

Susan Ethridge practices at 235 E Washington Ave, Ashburn, GA 31714. The listed phone number is (229) 778-9216.

What is Susan Ethridge's specialty?

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

Is Susan Ethridge enrolled in Medicare?

Yes. Susan Ethridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Ethridge was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.