Individual provider Active NPI

Whitney Denann Sirmans, FNP

  • Family Nurse Practitioner
  • Baxley, GA
National Provider Identifier
1912468521
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN219626 Issued in GA
Practice address
85 N Main St
Baxley, GA 31513-0567
Phone
(912) 705-9110
NPI assigned
Mar 27, 2019
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN219626 GA Primary
Family Nurse Practitioner 363LF0000X APRN11001573 FL

Addresses

Primary practice location

85 N Main St
Baxley, GA 31513-0567

Mailing address

1226 S Highway 129
Stockton, GA 31649-1628
Phone (229) 300-2258

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
I20190724003547 GA Practitioner - Nurse Practitioner 1850627183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11001573FLMDFamily Nurse Practitioner
RN219626GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Wellness Center of Georgia, LLC CurrentSince May 19, 2019 Accepting new patients

Locations

77 N Main St
Ste B
Baxley, GA 31513
Phone (912) 208-3824

1523 Old Valdosta Rd
Ray City, GA 31645
Phone (877) 543-7221

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1912468521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 S HIGHWAY 129",
            "city": "STOCKTON",
            "state": "GA",
            "postal_code": "316491628",
            "telephone_number": "229-300-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 N MAIN ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130567",
            "telephone_number": "912-705-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRMANS",
        "first_name": "WHITNEY",
        "middle_name": "DENANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN219626",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11001573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

Verify at the official NPI Registry.