SHARONDA BACON
NPI 1124979794
Case Manager/Care Coordinator in Pooler, GA

Active since February 09, 2026
103 CROSS CREEK DR, POOLER, GA 31322(912) 663-1047 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sharonda Bacon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHARONDA BACON (NPI 1124979794) is an individual case manager/care coordinator provider in Pooler, Georgia and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1124979794
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameSHARONDA BACON
Location Address103 CROSS CREEK DRPooler, GA 31322-9305
Mailing Address103 Cross Creek DrPooler, GA 31322-9305 · (912) 663-1047
Sole ProprietorYes
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 8, 2026
NPI 1124979794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
103 CROSS CREEK DR, Pooler, GA 31322

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
103 CROSS CREEK DR
POOLER, GA 31322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sharonda Bacon's NPI number?

The NPI number for Sharonda Bacon is 1124979794. It was assigned to this individual provider in the NPPES registry on February 9, 2026.

Where is Sharonda Bacon located?

Sharonda Bacon practices at 103 Cross Creek Dr, Pooler, GA 31322. The listed phone number is (912) 663-1047.

What is Sharonda Bacon's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Sharonda Bacon was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.