Individual provider Active NPI

Sheila Reece Walls

  • Family Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1003082363
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN054676 Issued in GA
Practice address
4248 Mount Zion Rd
Carrollton, GA 30117-7602
Phone
(770) 836-0103
Fax
(770) 834-8828
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN054676 GA Primary

Addresses

Primary practice location

4248 Mount Zion Rd
Carrollton, GA 30117-7602

Mailing address

PO Box 658
Mount Zion, GA 30150-0658
Phone (770) 836-0103

Other practice location 1

41 Wellington Mill Rd
Whitesburg, GA 30185-2606
Phone (770) 836-0504

Other practice location 2

1236 Franklin Pkwy
Franklin, GA 30217-7508
Phone (706) 675-8669

Other names 1

  • Sheila S Reece Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN054676GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bowdon-Mt Zion Primary Health Center Inc. PastSince Dec 24, 2023 Accepting new patients
Bowdon- Mt. Zion Primary Health Center ,Inc. PastSince Dec 24, 2023 Accepting new patients
Jack W Miller Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1003082363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "MOUNT ZION",
            "state": "GA",
            "postal_code": "301500658",
            "telephone_number": "770-836-0103",
            "fax_number": "770-834-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 MOUNT ZION RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301177602",
            "telephone_number": "770-836-0103",
            "fax_number": "770-834-8828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Wellington Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Whitesburg",
            "state": "GA",
            "postal_code": "301852606",
            "country_code": "US",
            "telephone_number": "770-836-0504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1236 Franklin Pkwy",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "GA",
            "postal_code": "302177508",
            "country_code": "US",
            "telephone_number": "706-675-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "SHEILA",
        "middle_name": "REECE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN054676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "REECE",
            "middle_name": "S",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.