Active NPI
Myiesha Sellers McFarlin, NP
- Primary Care Nurse Practitioner
- Baxley, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- RN254560
- Practice address
- 55 Sellers LN
Baxley, GA 31513-2208 - Phone
- (912) 278-6687
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | RN254560 | GA | Primary |
Addresses
Primary practice location
55 Sellers LN
Baxley, GA 31513-2208
Mailing address
55 Sellers LN
Baxley, GA 31513-2208
Phone (912) 278-6687
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200825000515 | GA | Practitioner - Nurse Practitioner | 7517384498 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Primary Care of Georgia LLC
Practice addresses (Care Compare)
1005 Boulder Dr
Gray, GA 31032-6141
Phone (478) 621-2100
Hospital & facility affiliations
- Southeast Georgia Health System- Brunswick Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN254560 | GA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| Community Primary Care of Georgia LLC | Current | Accepting new patients | |
| Community Primary Care of Georgia LLC | Past | Accepting new patients |
Locations
1005 Boulder Dr
Gray, GA 31032
Phone (478) 621-2072
215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Gray, GA
- NPI 1336492511
GA
-
- Federally Qualified Health Center (FQHC)
- Swainsboro, GA
- NPI 1194569228
GA
-
- Federally Qualified Health Center (FQHC)
- Twin City, GA
- NPI 1568330652
-
- Federally Qualified Health Center (FQHC)
- Vidalia, GA
- NPI 1790924918
-
- Geriatric Medicine (Family Medicine) Physician
- Macon, GA
- NPI 1447501689
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brunswick, GA
- NPI 1598784720
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1164032017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SELLERS LN",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315132208",
"telephone_number": "912-278-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SELLERS LN",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315132208",
"telephone_number": "912-278-6687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFARLIN",
"first_name": "MYIESHA",
"middle_name": "SELLERS",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "GA",
"license": "RN254560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baxley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.