Individual provider Active NPI

Heather Ann Sewell, LPN

  • Licensed Practical Nurse
  • Fort Oglethorpe, GA
National Provider Identifier
1730619461
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN052831 Issued in GA
Practice address
2007 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510
Phone
(706) 861-9390
Fax
(706) 866-4740
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN052831 GA Primary

Addresses

Primary practice location

2007 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510

Mailing address

2007 Old Lafayette Rd
Fort Oglethorpe, GA 30742-3510
Phone (706) 861-9390

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

State licenses

LicenseStateTypeSpecialty
LPN052831GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Treatment of Georgia, LP CurrentSince Jul 24, 2022 Accepting new patients
Metro Treatment of Georgia L P PastSince Jul 24, 2022 Accepting new patients

Locations

2007 Old Lafayette Rd
Ft Oglethorpe, GA 30742
Phone (706) 861-4990

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": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730619461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 OLD LAFAYETTE RD",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423510",
            "telephone_number": "706-861-9390",
            "fax_number": "706-866-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 OLD LAFAYETTE RD",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423510",
            "telephone_number": "706-861-9390",
            "fax_number": "706-866-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN052831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.