Provider Demographics
NPI:1407384977
Name:LITTLES, SHEILA RENEE (DNP, NP)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:RENEE
Last Name:LITTLES
Suffix:
Gender:F
Credentials:DNP, NP
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:LITTLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, MSN, BSN,
Mailing Address - Street 1:870 CRESTMARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITHIA SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30122-2665
Mailing Address - Country:US
Mailing Address - Phone:770-374-7062
Mailing Address - Fax:
Practice Address - Street 1:870 CRESTMARK DR STE 200
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-2665
Practice Address - Country:US
Practice Address - Phone:770-374-7062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN167846363LP2300X
GA167846363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003227729BMedicaid
GA003227729BOtherUNITED HEALTH CARE, BCBS, CARESOURCE, MEDICAIDE, AMERIGROUP