MS. SALLY W POOLE NPRN FNP
NPI 1639204746
Nurse Practitioner - Family in Augusta, GA

Active since February 22, 2007PECOS Enrolled
818 SAINT SEBASTIAN WAY, SUITE 200, AUGUSTA, GA 30901(706) 774-5145(706) 774-5147 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Sally W Poole Nprn Fnp NPPES

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

MS. SALLY W POOLE NPRN FNP (NPI 1639204746) is an individual family provider in Augusta, Georgia, licensed in Georgia (RN045012NP) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639204746
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SALLY W POOLECredential: NPRN FNP
Location Address818 SAINT SEBASTIAN WAY, SUITE 200Augusta, GA 30901-2651
Mailing Address324 Old Salem WayMartinez, GA 30907-9078 · (706) 855-5672 · Fax (706) 774-5147
Fax(706) 774-5147
Sole ProprietorYes
Enumeration DateFebruary 22, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1639204746 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 · RN045012NP
818 SAINT SEBASTIAN WAY, Augusta, GA 30901

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Sally W Poole Nprn 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 30901 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.

Internal Medicine
818 SAINT SEBASTIAN WAY, SUITE 311
AUGUSTA, GA 30901
Otolaryngology (Otology & Neurotology)
818 SAINT SEBASTIAN WAY, SUITE 204
AUGUSTA, GA 30901
Prosthetic/Orthotic Supplier
818 SAINT SEBASTIAN WAY, STE 205
AUGUSTA, GA 30901
Surgery (Vascular Surgery)
818 SAINT SEBASTIAN WAY, SUITE 408
AUGUSTA, GA 30901
Nurse Practitioner (Family)
818 SAINT SEBASTIAN WAY, SUITE 308
AUGUSTA, GA 30901
Specialist
818 SAINT SEBASTIAN WAY, SUITE 101
AUGUSTA, GA 30901
Otolaryngology (Otology & Neurotology)
818 SAINT SEBASTIAN WAY, SUITE 204
AUGUSTA, GA 30901
Internal Medicine (Nephrology)
818 SAINT SEBASTIAN WAY, SUITE 300
AUGUSTA, GA 30901

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 Sally Poole's NPI number?

The NPI number for Sally Poole is 1639204746. It was assigned to this individual provider in the NPPES registry on February 22, 2007.

Where is Sally Poole located?

Sally Poole practices at 818 Saint Sebastian Way Suite 200, Augusta, GA 30901. The listed phone number is (706) 774-5145.

What is Sally Poole's specialty?

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

Is Sally Poole enrolled in Medicare?

Yes. Sally Poole is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sally Poole was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.