Individual provider Active NPI

Sarah Simmons Mikell, FNP-C

  • Family Nurse Practitioner
  • Douglas, GA
National Provider Identifier
1023589744
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN254463 Issued in GA
Practice address
303 Shirley Ave Ste B
Douglas, GA 31533-2373
Phone
(912) 384-2474
NPI assigned
Dec 6, 2018
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 RN254463 GA Primary

Addresses

Primary practice location

303 Shirley Ave Ste B
Douglas, GA 31533-2373

Mailing address

303 Shirley Ave Ste B
Douglas, GA 31533-2373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308001899 GA Practitioner - Nurse Practitioner 7911246970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 Ocilla Rd
Suite a
Douglas, GA 31533-2209
Phone (912) 384-2252

303 Shirley Ave
Suite a
Douglas, GA 31533-2367
Phone (912) 383-8806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN254463GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Primary Care Center, Inc CurrentSince Apr 6, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince Dec 6, 2022 Accepting new patients
South Central Primary Care Center, Inc CurrentSince Apr 6, 2025 Accepting new patients
South Central Primary Care Center, Inc Past Accepting new patients

Locations

303 Shirley Ave
Ste B
Douglas, GA 31533
Phone (912) 384-2252

15 S Railroad St
Lenox, GA 31637
Phone (229) 546-4206

204 E 4th St
Ocilla, GA 31774
Phone 22946891662102

607 N Irwin Ave
#C
Ocilla, GA 31774
Phone (229) 468-5020

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1023589744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SHIRLEY AVE STE B",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SHIRLEY AVE STE B",
            "city": "DOUGLAS",
            "state": "GA",
            "postal_code": "315332373",
            "telephone_number": "912-384-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELL",
        "first_name": "SARAH",
        "middle_name": "SIMMONS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN254463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, GA

Sources for this page

Verify at the official NPI Registry.