Active NPI
Sheila Renee Littles, DNP, NP
- Adult Health Nurse Practitioner
- Lithia Springs, GA
National Provider Identifier
1407384977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 167846
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003227729B | Medicaid | GA | |
| 003227729B | Other | GA | UNITED HEALTH CARE, BCBS, CARESOURCE, MEDICAIDE, AMERIGROUP |
Other names 1
- Dr. Sheila Littles
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167846 | GA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Nurse Practitioner
- Douglasville, GA
- NPI 1043860554
-
- Health Service Clinic/Center
- Powder Springs, GA
- NPI 1023543162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.