Individual provider Active NPI

Misty Michelle Schales, FNP-BC

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1083339220
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209030 Issued in GA
Practice address
650 Scranton Rd
Brunswick, GA 31520-1927
Phone
(912) 289-9273
NPI assigned
Oct 10, 2022
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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 RN209030 GA Primary

Addresses

Primary practice location

650 Scranton Rd
Brunswick, GA 31520-1927

Mailing address

114 Haleys Place Dr
Brunswick, GA 31525-4074
Phone (912) 506-5633

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
I20231010002669 GA Practitioner - Nurse Practitioner 5698120723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Medical Clinic Georgia LLCGroup PAC ID 2961814694, shared by 4 NPIs, 23 clinicians

Practice addresses (Care Compare)

140 Martin Palmer Dr
Brunswick, GA 31523-8285
Phone (870) 847-7125

304 N Westberry St
Sylvester, GA 31791-2125
Phone (229) 463-7071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN209030GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Wellness Network Inc CurrentSince Aug 1, 2025 Accepting new patients
Access Medical Clinic Georgia LLC PastSince Sep 4, 2023 Accepting new patients

Organizations & group practices 2

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1083339220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 HALEYS PLACE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315254074",
            "telephone_number": "912-506-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SCRANTON RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201927",
            "telephone_number": "912-289-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALES",
        "first_name": "MISTY",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.