Roxy J Sheffield, P.A. – Medical Physician Assistant

Key facts

NPI: 1831456409
Entity type: Individual (NPI type 1)
Primary specialty: Medical Physician Assistant 363AM0700X
License: 6440 (GA)
Practice address: 711 Knight Ave
Waycross, GA 31501-1943
Phone: (912) 283-9423
Fax: (912) 283-9204
NPI assigned: Apr 19, 2012
Sex: Female
Sole proprietor: No

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.

Faith Family Practice LLC Family Medicine Physician · Waycross, GA · NPI 1649819343

Medicare reassignment Care Compare group GA
Southeast Georgia Primary Care Family Medicine Physician · Waycross, GA · NPI 1053429688

NPD

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Bacon County Health Services, Inc. Critical Access Hospital · Alma, GA · NPI 1629185285

Care Compare affiliation Hospital
Southeast Georgia Health Services, L.L.C. Rural Acute Care Hospital · Waycross, GA · NPI 1922530468

Care Compare affiliation Hospital
Southeast Georgia Health System, Inc. General Acute Care Hospital · Brunswick, GA · NPI 1598784720

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2012
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Telehealth: Offers telehealth services
Group practices: Faith Family Practice LLC (7 clinicians)

Practice addresses (Care Compare)

2100 Riverside Ave
Waycross, GA 31501-7020
Phone (912) 490-7777

2100 Riverside Ave
Waycross, GA 31501-7072

Hospital & facility affiliations

Memorial Satilla Health Hospital · Waycross, GA · CCN 110003
Southeast Georgia Health System- Brunswick Campus Hospital · Brunswick, GA · CCN 110025
Bacon County Hospital Hospital · Alma, GA · CCN 111327

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20120627000163	GA	Practitioner - Physician Assistant	8527223429	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Southeast Georgia Primary Care		Current	Accepting new patients

Locations

409 Uvalda St
Waycross, GA 31501
Phone (229) 391-3500

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Medical Physician Assistant	363AM0700X	6440	GA	Yes

Addresses

Primary practice location

711 Knight Ave
Waycross, GA 31501-1943

Mailing address

711 Knight Ave
Waycross, GA 31501-1943
Phone (912) 283-9423

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2016.

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1831456409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 KNIGHT AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315011943",
            "telephone_number": "912-283-9423",
            "fax_number": "912-283-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KNIGHT AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315011943",
            "telephone_number": "912-283-9423",
            "fax_number": "912-283-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "ROXY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "6440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

All providers in Waycross, GA · Medical Physician Assistant in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.