Individual provider Active NPI

Shelia Darlene Hill Croft, R.N., M.S.N., FNP-C

  • Nurse Practitioner
  • Ellijay, GA
National Provider Identifier
1235375072
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN049428 Issued in GA
Practice address
9 Russell Drive
Suite 203
Ellijay, GA 30540-2317
Phone
(706) 698-3627
Fax
(706) 698-3630
NPI assigned
Dec 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN049428 GA Primary

Addresses

Primary practice location

9 Russell Drive
Suite 203
Ellijay, GA 30540-2317

Mailing address

64 Call-Wright Road
Ellijay, GA 30540-2317
Phone (706) 698-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Medcare of Ellijay, LLC Past Accepting new patients

Organizations & group practices 1

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": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1235375072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 CALL-WRIGHT ROAD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305402317",
            "telephone_number": "706-698-3627",
            "fax_number": "706-690-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RUSSELL DRIVE",
            "address_2": "SUITE 203",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305402317",
            "telephone_number": "706-698-3627",
            "fax_number": "706-698-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "SHELIA",
        "middle_name": "DARLENE HILL",
        "name_prefix": "Mrs.",
        "credential": "R.N., M.S.N., FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN049428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.