Individual provider Active NPI

Sharon Nichols Pierce, CNM, MSN

  • Advanced Practice Midwife
  • Cordele, GA
National Provider Identifier
1740437623
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN113359 Issued in GA
Practice address
116 E 4TH Ave
Cordele, GA 31015-3210
Phone
(229) 276-3038
NPI assigned
Aug 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN113359 GA Primary

Addresses

Primary practice location

116 E 4TH Ave
Cordele, GA 31015-3210

Mailing address

116 E 4TH Ave
Cordele, GA 31015-3210
Phone (229) 276-3038

Other practice location 1

414 5th Ave
Albany, GA 31701-1976
Phone (229) 883-4555

Other identifiers 2

IdentifierTypeStateIssuer
907046009DMedicaidGA
336034OtherGAWELLCARE

Other names 1

  • Sharon Annette Nichols Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616001987 GA Practitioner - Certified Nurse Midwife (CNM) 8022309350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Careconnect Health, Inc. CurrentSince Aug 22, 2019 Accepting new patients
Careconnect Health, Inc. CurrentSince Aug 22, 2019 Accepting new patients

Locations

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": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1740437623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153210",
            "telephone_number": "229-276-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153210",
            "telephone_number": "229-276-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317011976",
            "country_code": "US",
            "telephone_number": "229-883-4555",
            "fax_number": "229-888-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "SHARON",
        "middle_name": "NICHOLS",
        "name_prefix": "Mrs.",
        "credential": "CNM, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN113359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907046009D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "336034",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "NICHOLS",
            "middle_name": "ANNETTE",
            "credential": "CMN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.