GUERTONE SUTTON APRN
NPI 1376138909
Family Medicine in Milledgeville, GA

Q: What is Guertone Sutton's NPI number?

The NPI number for Guertone Sutton is 1376138909. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Q: What is Guertone Sutton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Guertone Sutton was last updated on July 1, 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.

Active since March 05, 2021PECOS EnrolledAccepts Medicare Assignment

231 W HANCOCK ST, MILLEDGEVILLE, GA 31061(800) 342-0471 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2021, Mar 5, 2021 (2 updates tracked since 2021).

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About Guertone Sutton Aprn NPPES

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

GUERTONE SUTTON APRN (NPI 1376138909) is an individual family medicine provider in Milledgeville, Georgia, licensed in Georgia (235616) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1376138909

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameGUERTONE SUTTONCredential: APRN

Location Address231 W HANCOCK STMilledgeville, GA 31061-3371

Mailing Address231 W Hancock StMilledgeville, GA 31061-3371 · (800) 342-0471

Phone(800) 342-0471

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 5, 2021

Last NPPES UpdateJuly 1, 20212 updates tracked since enumeration

NPPES CertifiedJuly 1, 2021

✔ NPI 1376138909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in GA · 235616

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedRegistered NurseTaxonomy 163W00000X · License 235616 (GA)

231 W HANCOCK ST, Milledgeville, GA 31061

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Guertone Sutton Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567841604

PECOS Enrollment IDI20220621002706

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 Reassignments

Medicare enrollment records show Guertone Sutton reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southside Medical Center, Inc.

81 mi

Federally Qualified Health Center (FQHC)

1046 RIDGE AVE SW
Atlanta, GA 30315

Reassigned Medicare billing, Georgia enrollment
90 clinicians in this Medicare group

NPI 1235123993 (404) 688-1350

Georgia Mso LLC

84 mi

Family Medicine

3343 PEACHTREE RD NE, STE 145 PMB 3034
Atlanta, GA 30326

Reassigned Medicare billing, Georgia enrollment
131 clinicians in this Medicare group

NPI 1952196164 (212) 734-6621

Hardy Renew Wellness,llc

98 mi

Internal Medicine

838 CANNON RUN SW
Marietta, GA 30064

Reassigned Medicare billing, Georgia enrollment
134 clinicians in this Medicare group

NPI 1952914368 (423) 443-9956

Peachtree Immediate Care Fp, LLC

105 mi

Family Medicine

3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141

Reassigned Medicare billing, Georgia enrollment
551 clinicians in this Medicare group

NPI 1437194156 (770) 222-8900

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 3

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

565 services122 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

47 services36 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31061 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 20

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

DARLA RICH NP

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