Healthcare Provider Details

I. General information

NPI: 1326960568
Provider Name (Legal Business Name): CODY MICHAEL SINGLETARY FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 E FRANKLIN ST
SYLVESTER GA
31791-7231
US

IV. Provider business mailing address

1025 CORDELE RD
SYLVESTER GA
31791-1342
US

V. Phone/Fax

Practice location:
  • Phone: 229-347-3018
  • Fax:
Mailing address:
  • Phone: 229-347-3018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP282879
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: