Individual provider Active NPI

Stephanie Christine Sorrell

  • Family Nurse Practitioner
  • Perry, GA
National Provider Identifier
1669273645
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN289819 Issued in GA
Practice address
277 Perry Pkwy Ste C
Perry, GA 31069-8428
Phone
(478) 988-6087
Fax
(478) 988-6092
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 RN289819 GA Primary

Addresses

Primary practice location

277 Perry Pkwy Ste C
Perry, GA 31069-8428

Mailing address

277 Perry Pkwy Ste C
Perry, GA 31069-8428
Phone (478) 988-6087

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
I20250521000716 GA Practitioner - Nurse Practitioner 6709305998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince May 12, 2025 Accepting new patients
Careconnect Health, Inc. CurrentSince May 12, 2025 Accepting new patients

Locations

277 Perry Pkwy
Ste C
Perry, GA 31069
Phone (478) 988-6087

510 Alston St
Ste B
Richland, GA 31825
Phone (229) 887-3324

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1669273645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PERRY PKWY STE C",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310698428",
            "telephone_number": "478-988-6087",
            "fax_number": "478-988-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PERRY PKWY STE C",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310698428",
            "telephone_number": "478-988-6087",
            "fax_number": "478-988-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "STEPHANIE",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN289819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.