Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629041355 Individual Practitioner Female Practitioner

Shirley Lavon Harrell , NP

Nurse Practitioner • Douglas, GA

Professional Overview & Biography Verified Profile Summary

Shirley Harrell, NP is a registered healthcare professional specializing in Nurse Practitioner in Douglas, GA. Practice services are available at 1101 OCILLA RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1101 Ocilla Rd

Douglas, GA 315332207

Telephone 9123841900
Fax 9123892112
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Douglas, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Douglas, GA (3149 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
59 56 $2194.00 $143.14
99284 Emergency department visit with moderate level of medical decision making
19 19 $1487.00 $98.88

Medical Specialties & State Licenses

CMS Verified: 2021-06-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN056220

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse - Emergency

NUCC Taxonomy Code: 163WE0003X

State License GA RN056220

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
804987669A (GA)
Medicaid State Provider ID
804987669B (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
Dr. Nirandr Inthachak , MD

Radiology - Diagnostic Radiology

NPI 1013900489

Doctor of Medicine (M.D.)

Patricia Jaimes

Nurse Practitioner - Family

NPI 1033992276
Dr. Somnuk Pow-Anpongkul , MD

Radiology - Diagnostic Radiology

NPI 1053304428

Doctor of Medicine (M.D.)

Sarah Fambrough

Nurse Anesthetist, Certified Registered

NPI 1154036341
Dr. Hillary Newland , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1194709733

Doctor of Medicine (M.D.)

Hannah Padgett , NP-C

Nurse Practitioner - Family

NPI 1366238214

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 14, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2010

Registered at 1101 OCILLA RD, DOUGLAS, GA 315332207 (Tel: 9123841900)

📍
Updated Business Mailing Address October 14, 2010

Registered at PO BOX 1227, DOUGLAS, GA 315341227 (Tel: 9123841900)

👤
Provider Name / Credentials Updated October 14, 2010

Recorded as SHIRLEY HARRELL, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2010

Registered Nurse (License #RN056220 in GA)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629041355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: June 24, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 1227

Douglas, GA 315341227

Phone: 9123841900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.