SIDNEY DONETTE MEDINA
NPI 1437861168
Nurse Practitioner - Psychiatric/Mental Health in Columbus, GA

Q: What is Sidney Medina's NPI number?

The NPI number for Sidney Medina is 1437861168. It was assigned to this individual provider in the NPPES registry on December 13, 2022.

Q: What is Sidney Medina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Sidney Medina was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 December 13, 2022PECOS Enrolled

2100 COMER AVE, COLUMBUS, GA 31904(706) 596-5500 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2025, Feb 21, 2023, Dec 27, 2022 and 1 more (4 updates tracked since 2022).

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About Sidney Donette Medina NPPES

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

SIDNEY DONETTE MEDINA (NPI 1437861168) is an individual psychiatric/mental health provider in Columbus, Georgia, licensed in Georgia (GAA-NP003512) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437861168

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSIDNEY DONETTE MEDINA

Location Address2100 COMER AVEColumbus, GA 31904-8725

Mailing Address1150 Nw 72nd Ave Ste 455Miami, FL 33126-1947

Phone(706) 596-5500

Sole ProprietorYes

Enumeration DateDecember 13, 2022

Last NPPES UpdateSeptember 15, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1437861168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · GAA-NP003512

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License GAA-NP001222 (GA)

2100 COMER AVE, Columbus, GA 31904

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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)

Sidney Donette Medina 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 31904 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.

JACQUELINE STROTHER

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