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ESMERALDA ESPITIA
NPI 1730987108
Nurse Practitioner - Family in Swainsboro, GA

Active since March 03, 2025PECOS Enrolled
215 N COLEMAN ST, SWAINSBORO, GA 30401(478) 237-2638 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Esmeralda Espitia NPPES

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

ESMERALDA ESPITIA (NPI 1730987108) is an individual family provider in Swainsboro, Georgia, licensed in Georgia (RN295427) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730987108
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameESMERALDA ESPITIA
Location Address215 N COLEMAN STSwainsboro, GA 30401-3530
Mailing Address215 N Coleman StSwainsboro, GA 30401-3530 · (478) 237-2638
Phone(478) 237-2638
Sole ProprietorNo
Enumeration DateMarch 3, 2025
Last NPPES UpdateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1730987108 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 · RN295427
215 N COLEMAN ST, Swainsboro, GA 30401
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esmeralda Espitia 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.

Medicare Billing Reassignment

Medicare enrollment records show Esmeralda Espitia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Georgia Healthcare Center, Inc.
Same address
Federally Qualified Health Center (FQHC)
215 N COLEMAN ST
Swainsboro, GA 30401
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1831144971 (478) 237-6262

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30401 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 19

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

CHELSEA HAYMAN DNP, APRN, FNP-BC
Nurse Practitioner (Family)
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (478) 237-2638
LOGAN LAWSON SWEAT
Pharmacist
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (478) 237-2638
JAMYE BELLAMY CLARK FNP-C
Nurse Practitioner (Family)
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (478) 237-2638
MARTIN R SHELDON MD
Internal Medicine
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (478) 237-2638
CLAUDIO D MACHADO MD
Pediatrics
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (478) 299-6992
CARDINAL HEALTH 132, LLC
Pharmacy (Community/Retail Pharmacy)
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (478) 349-8145
HALEY FITZPATRICK FNP-C
Nurse Practitioner (Family)
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (478) 237-2638
PAUL ANDREW DORSETT MMS, PA-C
Physician Assistant
215 N COLEMAN ST
SWAINSBORO, GA 30401
Emanuel County (813) 285-1396

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 Esmeralda Espitia's NPI number?

The NPI number for Esmeralda Espitia is 1730987108. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Esmeralda Espitia located?

Esmeralda Espitia practices at 215 N Coleman St, Swainsboro, GA 30401. The listed phone number is (478) 237-2638.

What is Esmeralda Espitia's specialty?

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

Is Esmeralda Espitia enrolled in Medicare?

Yes. Esmeralda Espitia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Esmeralda Espitia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Esmeralda Espitia reassigns Medicare benefits to East Georgia Healthcare Center, Inc. (Swainsboro, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Esmeralda Espitia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Esmeralda Espitia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Esmeralda Espitia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Esmeralda Espitia was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.