Active NPI
Sheila Reece Walls
- Family Nurse Practitioner
- Carrollton, GA
National Provider Identifier
1003082363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN054676
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN054676 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowdon-Mt Zion Primary Health Center Inc. | Past | Accepting new patients | |
| Bowdon- Mt. Zion Primary Health Center ,Inc. | Past | 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.
-
- Rural Health Clinic/Center
- Mt Zion, GA
- NPI 1538117932
-
- Family Medicine Physician
- Carrollton, GA
- NPI 1417428772
-
- Adult Mental Health Clinic/Center
- Carrollton, GA
- NPI 1982708368
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.