Individual provider Active NPI

Georgia Christine Shirley, CNP

  • Family Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1861739922
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
870349R Issued in MS
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

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130624000299 MS Practitioner - Nurse Practitioner 8325287386 Reassigns benefits to 4 organizations

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
Jackson HB Medical Services LLCGroup PAC ID 6103273131, 50 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
870349RMSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natchez HB Medical Services LLC CurrentSince Jul 20, 2023 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince May 1, 2024 Accepting new patients
App of Mississippi Ed, LLC CurrentSince May 19, 2018 Accepting new patients
Jackson HB Medical Services LLC CurrentSince Oct 14, 2023 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.

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

Verify at the official NPI Registry.