Sharonda Bacon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

103 Cross Creek Dr
Pooler, GA 31322-9305

Phone

(912) 663-1047

NPI assigned

Feb 9, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Empowered Virtual Solutions, Inc.

  • Case Manager/Care Coordinator
  • Pooler, GA
  • NPI 1982555744
  NPD Authorized official

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1124979794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CROSS CREEK DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229305",
            "telephone_number": "912-663-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CROSS CREEK DR",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313229305",
            "telephone_number": "912-663-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "SHARONDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audiology Solutions
• Rhanita C Austin
• Alessandra Noelle Avena
• Carol Ann Avera, MS, OTR/L
• David Babbs, OTR
• Jody Milford Baham, FNP-BC
• Roger Aristotle Bailey
• Ma'Kayla Baldwin
• Alexander Bannout, DDS
• Bare Bones Medical LLC

• All providers in Pooler, GA
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.