Individual provider Active NPI

Sedrianna Shanta Reels

  • Nurse's Aide
  • Bainbridge, GA
National Provider Identifier
1619895463
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
059439856 Issued in GA
Practice address
255 Swanwall Rd
Bainbridge, GA 39817-6944
Phone
(229) 220-1464
NPI assigned
Jul 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 059439856 GA Primary

Addresses

Primary practice location

255 Swanwall Rd
Bainbridge, GA 39817-6944

Mailing address

255 Swanwall Rd
Bainbridge, GA 39817-6944
Phone (229) 220-1464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1619895463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SWANWALL RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398176944",
            "telephone_number": "229-220-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SWANWALL RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398176944",
            "telephone_number": "229-220-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REELS",
        "first_name": "SEDRIANNA",
        "middle_name": "SHANTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "059439856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.