Healthcare Provider Details

I. General information

NPI: 1144849290
Provider Name (Legal Business Name): MARIA ESMERALDA GOMEZ RN, MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 BAKER HWY W
DOUGLAS GA
31533-2107
US

IV. Provider business mailing address

310 BRYAN ST W
DOUGLAS GA
31533-4730
US

V. Phone/Fax

Practice location:
  • Phone: 912-389-4453
  • Fax:
Mailing address:
  • Phone: 912-389-4586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License NumberRN183090
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN183090
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: