Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sidney Donette Medina

Individual provider Gerontology Nurse Practitioner · NPI 1437861168

Sidney Donette Medina is a Nurse Practitioner in Columbus, Georgia. Qualified in 2022, 4 years ago. Practices with New Horizons Area Mh Mr Sa Program, a 7-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2100 Comer Ave
Columbus, GA 31904-8725
Phone: (706) 596-5500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence GAA-NP003512 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence GAA-NP001222 (GA)

Record details

NPI number1437861168
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 13, 2022
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New Horizons Area Mh Mr Sa Program — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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