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

Susan Prouse

Individual provider Family Nurse Practitioner · NPI 1689244063

Susan Prouse is a Nurse Practitioner in Bainbridge, Georgia. Qualified in 2021, 5 years ago. Practices with Rural Urgent Care LLC, a 167-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

1408 Tallahassee Hwy Ste Z
Bainbridge, GA 39819-7900
Phone: (229) 400-9033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN170978 (GA)

Record details

NPI number1689244063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2021
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address1500 1st Ave N Unit 3, Birmingham, AL 35203-1866

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rural Urgent Care Llc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bainbridge