SUSAN PROUSE
NPI 1689244063
Nurse Practitioner - Family in Bainbridge, GA

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
1408 TALLAHASSEE HWY STE Z, BAINBRIDGE, GA 39819(229) 400-9033 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan Prouse NPPES

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

SUSAN PROUSE (NPI 1689244063) is an individual family provider in Bainbridge, Georgia, licensed in Georgia (RN170978) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689244063
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSAN PROUSE
Location Address1408 TALLAHASSEE HWY STE ZBainbridge, GA 39819-7900
Mailing Address1500 1st Ave N Unit 3Birmingham, AL 35203-1866
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2021
NPPES CertifiedJune 29, 2021
NPI 1689244063 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 · RN170978
1408 TALLAHASSEE HWY STE Z, Bainbridge, GA 39819

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Susan Prouse 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 ID4688062417
PECOS Enrollment IDI20211028001134, I20250508000417
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.

Areas of Expertise CMS Part B claims 12

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
323 services36 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
136 services30 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
133 services60 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
87 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services49 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
64 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39819 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 3

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

Nurse Practitioner (Family)
1408 TALLAHASSEE HWY STE Z
BAINBRIDGE, GA 39819
Clinic/Center (Urgent Care)
1408 TALLAHASSEE HWY STE Z
BAINBRIDGE, GA 39819
Nurse Practitioner (Community Health)
1408 TALLAHASSEE HWY STE Z
BAINBRIDGE, GA 39819

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 Prouse's NPI number?

The NPI number for Susan Prouse is 1689244063. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Susan Prouse located?

Susan Prouse practices at 1408 Tallahassee Hwy Ste Z, Bainbridge, GA 39819. The listed phone number is (229) 400-9033.

What is Susan Prouse's specialty?

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

Is Susan Prouse enrolled in Medicare?

Yes. Susan Prouse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Prouse was last updated on June 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.