Active NPI
Sherryl C. Copeland, APRN
- Family Nurse Practitioner
- Hazlehurst, GA
National Provider Identifier
1497976781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN066094
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jason R Laney, PC | Current | 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
- 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.
-
dba Laney Internal Medicine Group
- Primary Care Clinic/Center
- Hazlehurst, GA
- NPI 1891270393
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.