Individual provider Active NPI

Shelan Meheux, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smyrna, GA
National Provider Identifier
1003631540
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN283748 Issued in GA
Practice address
3995 S Cobb Dr SE
Smyrna, GA 30080-6397
Phone
(404) 798-3399
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN283748 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN283748 GA Primary

Addresses

Primary practice location

3995 S Cobb Dr SE
Smyrna, GA 30080-6397

Mailing address

350 Thornbush Trce
Lawrenceville, GA 30046-4716
Phone (404) 798-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204000659 GA Practitioner - Nurse Practitioner 7416435060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3305 Breckinridge Blvd
Suite 122
Duluth, GA 30096-4932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN283748GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manna Scholarship Fund Current Accepting new patients
Manna Scholarship Fund Inc CurrentSince Jan 20, 2026 Accepting new patients
Manna Treatment LLC PastSince Jan 20, 2026 Accepting new patients

Locations

3305 Breckinridge Blvd
Ste 122
Duluth, GA 30096
Phone (770) 495-9775

3305 Breckinridge Blvd
Ste 116
Duluth, GA 30096
Phone (770) 495-9775

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1003631540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 THORNBUSH TRCE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464716",
            "telephone_number": "404-798-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806397",
            "telephone_number": "404-798-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHEUX",
        "first_name": "SHELAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN283748",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN283748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.