Active NPI
Monica Shyrell Darty, NP-C
- Family Nurse Practitioner
- Columbus, GA
National Provider Identifier
1336573625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN205657
- Practice address
- 2300 Manchester Expy
Butler Pavilion
Columbus, GA 31904-6802 - Phone
- (706) 243-4594
- Fax
- (706) 243-4596
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN205657 | GA | Primary |
Addresses
Primary practice location
2300 Manchester Expy
Butler Pavilion
Columbus, GA 31904-6802
Mailing address
PO Box 8668
Columbus, GA 31908-8668
Phone (706) 320-2773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003152078A | Medicaid | GA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN205657 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Lotus Group LLC | Family | Current | Accepting new patients |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Upson Womens Services LLC | Current | Accepting new patients | |
| Upson Family Physicians, LC | Past | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
1602 Vernon Rd
Ste 200
Lagrange, GA 30240
Phone (478) 292-7962
1605 Vernon Rd
Ste 1600
Lagrange, GA 30240
Phone (706) 407-1624
917 W Gordon St
#A
Thomaston, GA 30286
Phone (678) 416-2308
Interoperability endpoints
- mdarty352699@directwellstar.org
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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
dba ReNew Infusion & Wellness
- Infusion Therapy Clinic/Center
- Lagrange, GA
- NPI 1831874395
Family
-
- Obstetrics & Gynecology Physician
- Thomaston, GA
- NPI 1881842821
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Family Medicine Physician
- Thomaston, GA
- NPI 1083842918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1336573625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8668",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319088668",
"telephone_number": "706-320-2773",
"fax_number": "706-596-4226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MANCHESTER EXPY",
"address_2": "BUTLER PAVILION",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319046802",
"telephone_number": "706-243-4594",
"fax_number": "706-243-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARTY",
"first_name": "MONICA",
"middle_name": "SHYRELL",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-22",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN205657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003152078A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.