ETHAN EDMUND RAILEE FAUDREE APRN,RN
NPI 1417893512
Nurse Practitioner - Family in Darien, GA

Q: What is Ethan Faudree's NPI number?

The NPI number for Ethan Faudree is 1417893512. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Q: What is Ethan Faudree's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ethan Faudree was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 28, 2026PECOS Enrolled

5873 US HIGHWAY 17, DARIEN, GA 31305(912) 266-6605 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ethan Edmund Railee Faudree Aprn,rn NPPES

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

ETHAN EDMUND RAILEE FAUDREE APRN,RN (NPI 1417893512) is an individual family provider in Darien, Georgia, licensed in Georgia (APRN-NP333216) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417893512

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameETHAN EDMUND RAILEE FAUDREECredential: APRN,RN

Location Address5873 US HIGHWAY 17Darien, GA 31305-4015

Mailing Address5873 Us Highway 17Darien, GA 31305-4015 · (912) 266-6605

Phone(912) 266-6605

Sole ProprietorNo

Enumeration DateApril 28, 2026

NPPES CertifiedApril 28, 2026

✔ NPI 1417893512 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 · APRN-NP333216

5873 US HIGHWAY 17, Darien, GA 31305

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Edmund Railee Faudree Aprn,rn 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 31305 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

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

ELIZABETH AGUANTA BULATAO FNP

Nurse Practitioner (Adult Health)

5873 US HIGHWAY 17
DARIEN, GA 31305

McIntosh County (912) 450-9750

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 Ethan Faudree's NPI number?

The NPI number for Ethan Faudree is 1417893512. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Ethan Faudree located?

Ethan Faudree practices at 5873 Us Highway 17, Darien, GA 31305. The listed phone number is (912) 266-6605.

What is Ethan Faudree's specialty?

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

Is Ethan Faudree enrolled in Medicare?

Yes. Ethan Faudree is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Faudree was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.