Healthcare Provider Details

I. General information

NPI: 1316552110
Provider Name (Legal Business Name): SUSAN ASHLEY HOBBS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 US HIGHWAY 280 W
AMERICUS GA
31719-8645
US

IV. Provider business mailing address

176 SAINT CLAIR DR
LEESBURG GA
31763-3225
US

V. Phone/Fax

Practice location:
  • Phone: 229-924-6011
  • Fax:
Mailing address:
  • Phone: 229-402-0541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN195321
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: