Shirley Lavon Harrell, NP
NPI 1629041355ActiveIndividual· Nurse Practitioner· Douglas, GA
Nurse Practitioner (NP) in Douglas, Georgia, licensed in GA, with an NPI issued in February 2006. 75 Medicare patients in 2024, $8,425 paid; nearly all of their 367 Part D prescriptions were generic (96%).
Overview
| NPI | 1629041355 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | Yes |
| NPI issued | Feb 13, 2006 |
| Last updated in NPPES | Jun 24, 2021 |
| Certified by provider | Jun 24, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN056220 | GA |
| Registered Nurse, Emergency | 163WE0003X | RN056220 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 81 across 5 procedure codes |
| Paid by Medicare | $8,425 |
Part D prescriptions in 2024
| Prescriptions (claims) | 367 · 369 30-day fills |
|---|---|
| Patients | 166 |
| Total drug cost | $2,842 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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