CONSWALIS L. NORTHCUTT NP NPI 1952751497

NPI Information

NPI: 1952751497
Provider Name: CONSWALIS L. NORTHCUTT, NP
Classification: Nurse Practitioner - 363LA2200X
Specialization: Adult Health
Entity Type: Individual
PECOS Registration: Yes
Address: 1719 RUSSELL PKWY
BLDG 700
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 328-7674

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NPI Details

Conswalis L. Northcutt, NP is an adult health nurse practitioner in Warner Robins, GA. Conswalis L. Northcutt, NP NPI is 1952751497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1719 RUSSELL PKWY
BLDG 700
WARNER ROBINS, GA
ZIP 31088-763
Phone: (478) 328-7674
Fax: (478) 328-1393

The NPI 1952751497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2016 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
1	363LA2200X	Nurse Practitioner	Adult Health	APRN-NP203938	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN203938	OTHER	GEORGIA	NURSE PRACTIONER LICENSURE NUMBER
2	AG0815122	OTHER	GEORGIA	CERTIFICATION NUMBER (AMERICAN ACADEMY OF NURSE PRACTITIONERS)

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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