Individual provider Active NPI

Nicole Marie Sorrells, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Acworth, GA
National Provider Identifier
1407426760
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
GAA-NP001721 Issued in GA
Practice address
6060 Lake Acworth Dr NW Ste H
Acworth, GA 30101-7358
Phone
(561) 568-4556
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9232361 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11014332 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X GAA-NP001721 GA Primary

Addresses

Primary practice location

6060 Lake Acworth Dr NW Ste H
Acworth, GA 30101-7358

Mailing address

6060 Lake Acworth Dr NW Ste H
Acworth, GA 30101-7358
Phone (561) 568-4556

Other practice location 1

6060 Lake Acworth Dr NW Ste H
Acworth, GA 30101-7358
Phone (561) 568-4556

Other practice location 2

1810 Water Pl SE Ste 180
Atlanta, GA 30339-2282
Phone (561) 568-4556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9232361FLMDRegistered Nurse
APRN11014332FLMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1407426760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 LAKE ACWORTH DR NW STE H",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017358",
            "telephone_number": "561-568-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 LAKE ACWORTH DR NW STE H",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017358",
            "telephone_number": "561-568-4556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6060 Lake Acworth Dr NW Ste H",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301017358",
            "country_code": "US",
            "telephone_number": "561-568-4556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Water Pl SE Ste 180",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303392282",
            "country_code": "US",
            "telephone_number": "561-568-4556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRELLS",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9232361",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11014332",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "GAA-NP001721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.