JEREMY PETTY FNP-C NPI 1942515812

NPI Information

  • NPI: 1942515812
  • Provider Name: JEREMY PETTY, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4561 RIVER RD STE A
    COLUMBUS, GA
    ZIP 31904
  • Phone: (706) 478-5717

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NPI Details

Jeremy Petty, FNP-C is a family nurse practitioner in Columbus, GA. Jeremy Petty, FNP-C NPI is 1942515812. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4561 RIVER RD STE A
COLUMBUS, GA
ZIP 31904-828
Phone: (706) 478-5717
Fax: (706) 229-4883

The enumeration date for this NPI number is 8/16/2010 and was last updated on 11/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAPRN-NP175210GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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