Individual provider Active NPI

Sherryl C. Copeland, APRN

  • Family Nurse Practitioner
  • Hazlehurst, GA
National Provider Identifier
1497976781
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN066094 Issued in GA
Practice address
209 S Tallahassee St
Hazlehurst, GA 31539-6025
Phone
(912) 375-3095
Fax
(912) 375-0064
NPI assigned
May 2, 2007
Last updated
Jun 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN066094 GA Primary

Addresses

Primary practice location

209 S Tallahassee St
Hazlehurst, GA 31539-6025

Mailing address

1350 Pine Level Church Rd
Alma, GA 31510-5604
Phone (912) 632-7775

Other names 1

  • Sherry C. Copeland 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
I20100709000358 GA Practitioner - Nurse Practitioner 0749319762 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jason R Laney, PC CurrentSince Aug 1, 2018 Accepting new patients

Locations

209 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-3095

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

Interoperability endpoints

  • Direct secure messaging: scopeland@laneyimg.ssdirect.aprima.com

Organizations & group practices 1

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1497976781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PINE LEVEL CHURCH RD",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315105604",
            "telephone_number": "912-632-7775",
            "fax_number": "912-367-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S TALLAHASSEE ST",
            "city": "HAZLEHURST",
            "state": "GA",
            "postal_code": "315396025",
            "telephone_number": "912-375-3095",
            "fax_number": "912-375-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "SHERRYL",
        "middle_name": "C.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN066094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRY",
            "last_name": "COPELAND",
            "middle_name": "C.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hazlehurst, GA

Sources for this page

Verify at the official NPI Registry.