Individual provider Active NPI

Sharron Whipple, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Milledgeville, GA
National Provider Identifier
1417614603
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN154130 Issued in GA
Practice address
100 N Abc St
Milledgeville, GA 31061-0000
Phone
(478) 215-4009
Fax
(478) 864-1288
NPI assigned
Nov 22, 2021
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN154130 GA Primary

Addresses

Primary practice location

100 N Abc St
Milledgeville, GA 31061-0000

Mailing address

177 Stewart Dr NW
Milledgeville, GA 31061-6283
Phone (478) 456-1913

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
I20230207003098 GA Practitioner - Nurse Practitioner 2365814928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc CurrentSince Oct 21, 2022 Accepting new patients
Community Health Care Systems, Inc. CurrentSince Oct 21, 2022 Accepting new patients

Locations

100 Abc Dr
Milledgeville, GA 31061
Phone (478) 215-4009

102 Airport Rd NE
#A
Milledgeville, GA 31061
Phone (478) 453-0077

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1417614603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 STEWART DR NW",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310616283",
            "telephone_number": "478-456-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ABC ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310610000",
            "telephone_number": "478-215-4009",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "SHARRON",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN154130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.