Individual provider Active NPI

Deleshia Swilley, NP

  • Family Nurse Practitioner
  • Waycross, GA
National Provider Identifier
1891460606
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN218420 Issued in GA
Practice address
1007 Mary St
Waycross, GA 31503-3823
Phone
(912) 449-7214
NPI assigned
Aug 13, 2021
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 RN218420 GA Primary

Addresses

Primary practice location

1007 Mary St
Waycross, GA 31503-3823

Mailing address

1007 Mary St
Waycross, GA 31503-3823
Phone (912) 449-7214

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314001135 GA Practitioner - Nurse Practitioner 0143615930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKinney Medical Center IncGroup PAC ID 3173432226, 13 clinicians

Practice addresses (Care Compare)

218 Quarterman St
Waycross, GA 31501-3547
Phone (912) 287-0301

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKinney Medical Center Inc CurrentSince Feb 28, 2024 Accepting new patients
McKinney Medical Center Inc CurrentSince Feb 28, 2024 Accepting new patients
Trimed Advance Health, LLC CurrentSince Mar 15, 2022 Accepting new patients
McKinney Medical Center, Inc. Past Accepting new patients

Locations

501 N Pierce St
Alma, GA 31510
Phone (912) 632-0872

3913 Main St
Folkston, GA 31537
Phone (912) 496-0826

3919 Main St
Folkston, GA 31537
Phone (912) 287-0301

711 Charles Gilman Jr Ave
Ste B
Kingsland, GA 31548
Phone (912) 510-9728

9355 Main St S
Nahunta, GA 31553
Phone (912) 462-6222

2015 Alice St
Waycross, GA 31501
Phone (912) 283-2120

218 Quarterman St
Waycross, GA 31501
Phone (912) 287-0301

300 Uvalda St
Waycross, GA 31501
Phone (912) 287-0360

935 McDonald St
Waycross, GA 31501
Phone (912) 285-5080

Interoperability endpoints

  • Direct secure messaging: deleshia.swilley.1@18622.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18622/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CEBCAA

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1891460606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315033823",
            "telephone_number": "912-449-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MARY ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315033823",
            "telephone_number": "912-449-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWILLEY",
        "first_name": "DELESHIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN218420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.