Todd Sumler, FNP - Medicare Nurse Practitioner in Valdosta, GA

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Todd Sumler, FNP is a medicare enrolled "Nurse Practitioner - Family" in Valdosta, Georgia. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ear, Nose, And Throat Clinic Of Coffee Co., Crisp Regional Hospital Inc and his current practice location is 415 Woodrow Wilson Drive, Valdosta, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 253-0780.

Todd Sumler is licensed to practice in Georgia (license number RN127085) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457600298.

Contact Information

Todd Sumler, FNP
415 Woodrow Wilson Drive,
Valdosta, GA 31602
(229) 253-0780
(229) 253-0785

Map and Direction




Provider's Profile

Full NameTodd Sumler
GenderMale
SpecialityNurse Practitioner
Experience14 Years
Location415 Woodrow Wilson Drive, Valdosta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Todd Sumler graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1457600298
  • Provider Enumeration Date: 09/07/2012
  • Last Update Date: 09/07/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1456502764
  • Enrollment ID: I20121114000631

Medical Identifiers

Medical identifiers for Todd Sumler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457600298NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN127085 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crisp Regional HospitalCordele, GAHospital
Tift Regional Medical CenterTifton, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ear, Nose, And Throat Clinic Of Coffee Co.448669857811
Crisp Regional Hospital Inc599161633665

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Todd Sumler allows following entities to bill medicare on his behalf.
Entity NameCrisp Regional Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700851649
PECOS PAC ID: 5991616336
Enrollment ID: O20040107000032
Entity NameEar, Nose, and Throat Clinic of Coffee Co.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891750774
PECOS PAC ID: 4486698578
Enrollment ID: O20050620000687
Entity NameParrott Medical Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912138116
PECOS PAC ID: 1153467238
Enrollment ID: O20091002000231
Entity NameTift Regional Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881203305
PECOS PAC ID: 2062745169
Enrollment ID: O20200217002409

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Todd Sumler is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Todd Sumler, FNP
875 Bealuh Church Rd,
Sparks, GA 31647

Ph: (229) 546-5209		Todd Sumler, FNP
415 Woodrow Wilson Drive,
Valdosta, GA 31602

Ph: (229) 253-0780

Reviews and Comments


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John Stephen Dodd, NP
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Ms. Barbara Ann Pearce, ANP-C
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Mr. Nathan Kelly Roberson, NP-C
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Phone: 229-560-4575    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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