Individual provider Active NPI

Cheryl Tharp

  • Family Nurse Practitioner
  • Americus, GA
National Provider Identifier
1104478890
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
186330 Issued in GA
Practice address
169 Pine Level Rd
Americus, GA 31719-9221
Phone
(229) 938-3714
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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 186330 GA Primary

Addresses

Primary practice location

169 Pine Level Rd
Americus, GA 31719-9221

Mailing address

169 Pine Level Rd
Americus, GA 31719-9221
Phone (229) 938-3714

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
I20190829002386 GA Practitioner - Nurse Practitioner 9234467143 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
186330GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Truhealth, LLC CurrentSince Sep 25, 2023 Accepting new patients
Qofl Services LLC CurrentSince Jul 16, 2019 Accepting new patients

Locations

223 W 3rd Ave
Albany, GA 31701
Phone (229) 435-0741

239 Arrowhead Blvd
Jonesboro, GA 30236
Phone (404) 312-0496

325 Allen Memorial Dr SW
Milledgeville, GA 31061
Phone (478) 453-8514

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1104478890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PINE LEVEL RD",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317199221",
            "telephone_number": "229-938-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PINE LEVEL RD",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317199221",
            "telephone_number": "229-938-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARP",
        "first_name": "CHERYL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "186330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.