Active NPI
Georgia Christine Shirley, CNP
- Family Nurse Practitioner
- Brandon, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 870349R
- Practice address
- 2008 Brookstone Place
Brandon, MS 39042 - Phone
- (601) 208-0656
- NPI assigned
- Jan 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 870349R | MS | Primary |
Addresses
Primary practice location
2008 Brookstone Place
Brandon, MS 39042
Mailing address
2008 Brookstone PL
Brandon, MS 39042-2959
Phone (601) 208-0656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
350 Crossgates Blvd
Brandon, MS 39042-2601
Phone (601) 825-2811
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.86 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 74.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 870349R | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natchez HB Medical Services LLC | Current | Accepting new patients | |
| Olive Branch Emergency Physicians LLC | Current | Accepting new patients | |
| App of Mississippi Ed, LLC | Current | Accepting new patients | |
| Jackson HB Medical Services LLC | Current | Accepting new patients | |
| You Wellness PLLC | Current | Accepting new patients | |
| Emergency Medicine Associates of Jackson | Past | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
350 Crossgates Blvd
Brandon, MS 39042
Phone (601) 824-8500
161 River Oaks Dr
Canton, MS 39046
Phone (601) 855-4000
1030 River Oaks Dr
Jackson, MS 39232
Phone (601) 376-2165
1850 Chadwick Dr
Jackson, MS 39204
Phone (601) 376-1000
54 Sgt Prentiss Dr
Natchez, MS 39120
Phone (601) 443-2100
4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000
Organizations & group practices 6
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.
-
dba Merit Health Central
- Emergency Medicine Physician
- Jackson, MS
- NPI 1184305856
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1730687740
-
dba Merit Health Natchez
- Emergency Medicine Physician
- Natchez, MS
- NPI 1770264459
-
- Emergency Medicine Physician
- Olive Branch, MS
- NPI 1730969734
-
- Health Service Clinic/Center
- Madison, MS
- NPI 1174314579
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1043315906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1861739922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 BROOKSTONE PL",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422959",
"telephone_number": "601-208-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 BROOKSTONE PLACE",
"city": "BRANDON",
"state": "MS",
"postal_code": "39042",
"telephone_number": "601-208-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "GEORGIA",
"middle_name": "CHRISTINE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "870349R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.