Organization Active NPI

Practitoners Community Care

  • Primary Care Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1043860554
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRACTITONERS COMMUNITY CARE
Practice address
2022 Highway 92 Fairburn Rd Ste F
Douglasville, GA 30135-1062
Phone
(770) 374-7062
NPI assigned
Sep 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Dr. Sheila Renee Littles, DNP, NPNPI 1407384977
Title
Nurse Practitioner
Phone
(770) 374-7062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

2022 Highway 92 Fairburn Rd Ste F
Douglasville, GA 30135-1062

Mailing address

2022 Highway 92 Fairburn Rd Ste F
Douglasville, GA 30135-1062
Phone (770) 374-7062

Other identifiers 2

IdentifierTypeStateIssuer
Q03882281OtherGAMEDICARE
003227729BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200417000762 GA Part B Supplier - Clinic/Group Practice 6800226754 Receives reassigned benefits from 1 practitioner
Practice locations: Lithia Springs, GA

National Provider Directory

National Provider Directory

Locations

2022 Highway 92 Fairburn Rd
Ste F
Douglasville, GA 30135
Phone (770) 927-7341

560 Thornton Rd
Ste 106
Lithia Springs, GA 30122
Phone (770) 732-0982

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1043860554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 HIGHWAY 92 FAIRBURN RD STE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351062",
            "telephone_number": "770-374-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 HIGHWAY 92 FAIRBURN RD STE F",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351062",
            "telephone_number": "770-374-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTITONERS COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "LITTLES",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-374-7062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q03882281",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003227729B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.