Lydia Sheppard, DNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN221778 Issued in GA

Practice address

600 Westridge Pkwy Ste 714
McDonough, GA 30253-7789

Phone

(404) 566-5659

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Self-Care Mental Health & Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • McDonough, GA
  • NPI 1689244170
  NPD

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1609275627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BENEFIELD CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302810965",
            "telephone_number": "718-715-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WESTRIDGE PKWY STE 714",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537789",
            "telephone_number": "404-566-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "LYDIA",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "RN221778",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN221778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Sheffield, OTR/L
• Rhonda Sheffield, RBT
• Sheila a. Balog, PH.D., PC
• Azam Molook Sheirling, LCSW
• Shellys Wright Choice LLC
• Rhonda Sheppard, PHYSICAL THERAPIST
• Sheppard'S Progressive Rehabilitation
• Jazmin Sherald
• Paris C Shields, LCSW
• Karol Short

• Psychiatric/Mental Health Nurse Practitioner in McDonough, GA
• Providers in McDonough, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.