Individual provider Active NPI

Sheila Renee Littles, DNP, NP

  • Adult Health Nurse Practitioner
  • Lithia Springs, GA
National Provider Identifier
1407384977
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
167846 Issued in GA
Practice address
870 Crestmark Dr Ste 200
Lithia Springs, GA 30122-2665
Phone
(770) 374-7062
NPI assigned
May 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN167846 GA
Adult Health Nurse Practitioner 363LA2200X 167846 GA Primary

Addresses

Primary practice location

870 Crestmark Dr Ste 200
Lithia Springs, GA 30122-2665

Mailing address

870 Crestmark Dr Ste 200
Lithia Springs, GA 30122-2665
Phone (770) 374-7062

Other identifiers 2

IdentifierTypeStateIssuer
003227729BMedicaidGA
003227729BOtherGAUNITED HEALTH CARE, BCBS, CARESOURCE, MEDICAIDE, AMERIGROUP

Other names 1

  • Dr. Sheila Littles Professional name

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
I20190215002678 GA Practitioner - Nurse Practitioner 3971841917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
167846GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Life Health Past Accepting new patients

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1407384977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CRESTMARK DR STE 200",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222665",
            "telephone_number": "770-374-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CRESTMARK DR STE 200",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222665",
            "telephone_number": "770-374-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLES",
        "first_name": "SHEILA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DNP, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN167846",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "167846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003227729B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE, BCBS, CARESOURCE, MEDICAIDE, AMERIGROUP",
            "identifier": "003227729B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEILA",
            "last_name": "LITTLES",
            "prefix": "DR.",
            "credential": "DNP, MSN, BSN,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.