Cherial Lashawn Revell, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN127665 Issued in GA

Practice address

6801 River Rd
Suite 106
Columbus, GA 31904-3352

Phone

(706) 566-4288

NPI assigned

Jan 8, 2008

Last updated

Feb 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14489/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahmere Health Services LLC

  • Health Service Clinic/Center
  • Columbus, GA
  • NPI 1083025217
  Authorized official Same address or phone
• Acs Primary Care Physicians - Southeast PC

  • Emergency Medicine Physician
  • Myrtle Beach, SC
  • NPI 1861430555
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1770768848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7982 NATURE TRL",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042156",
            "telephone_number": "706-761-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 RIVER RD",
            "address_2": "SUITE 106",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043352",
            "telephone_number": "706-566-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELL",
        "first_name": "CHERIAL",
        "middle_name": "LASHAWN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN127665",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN127665",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN127665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resolution Behavioral Health, LLC
• Resolution Counseling Services, LLC
• Restor Metabolix of Columbus
• Restora Medical Centers
• Retina of Auburn & Metro-Columbus
• Deandrea Revels, RBT
• Rajendra N Rewatkar, OTR/L
• Gregg Kevin Reynolds Jr., RBT
• James Frank Reynolds, PHARMD
• Paula Reynolds, FP/WHNP-BC

• Family Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.