SHIRLEY LAVON HARRELL NP
NPI 1629041355
Nurse Practitioner in Douglas, GA

Q: What is Shirley Harrell's NPI number?

The NPI number for Shirley Harrell is 1629041355. It was assigned to this individual provider in the NPPES registry on February 13, 2006. The provider is also known as Shirley Lavon Knowles Harrell Np.

Q: What is Shirley Harrell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shirley Harrell was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since February 13, 2006PECOS Enrolled

1101 OCILLA RD, DOUGLAS, GA 31533(912) 384-1900(912) 389-2112 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shirley Lavon Harrell Np NPPES

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

SHIRLEY LAVON HARRELL NP (NPI 1629041355) is an individual nurse practitioner in Douglas, Georgia, licensed in Georgia (RN056220) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629041355

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHIRLEY LAVON HARRELLCredential: NP

Location Address1101 OCILLA RDDouglas, GA 31533-2207

Mailing AddressPo Box 1227Douglas, GA 31534-1227 · (912) 384-1900 · Fax (912) 389-2112

Phone(912) 384-1900

Fax(912) 389-2112

Sole ProprietorYes

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJune 24, 2021

NPPES CertifiedJune 24, 2021

✔ NPI 1629041355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN056220

Definition

(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.

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN056220 (GA)

1101 OCILLA RD, Douglas, GA 31533

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Other Names 1

Other Name (5)Shirley Lavon Knowles Harrell Np

Other Identifiers 2

Medicaid804987669BGA

Medicaid804987669AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shirley Lavon Harrell Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Shirley Harrell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coffee Emergency Group LLC

Same address

Emergency Medicine

1101 OCILLA RD
Douglas, GA 31533

Reassigned Medicare billing, Georgia enrollment
38 clinicians in this Medicare group

NPI 1023353489 (800) 893-9698

Coffee Regional Medical Center, Inc

Same address

Anesthesiology

1101 OCILLA RD
Douglas, GA 31533

Reassigned Medicare billing, Georgia enrollment
72 clinicians in this Medicare group

NPI 1437120946 (912) 384-1900

Ware Express Care, LLC

36 mi

Urgent Care

306 ISABELLA ST
Waycross, GA 31501

Reassigned Medicare billing, Georgia enrollment
5 clinicians in this Medicare group

NPI 1679083539 (912) 285-9990

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

59 services56 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

NIRANDR INTHACHAK M.D.

Radiology (Diagnostic Radiology)