Shemika N Elvine

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

25114064 Issued in GA

Practice address

212 W Dykes St
Cochran, GA 31014-6925

Phone

(478) 230-7932

NPI assigned

Jun 16, 2025

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1023904158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W DYKES ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146925",
            "telephone_number": "478-230-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W DYKES ST",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310146925",
            "telephone_number": "478-230-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVINE",
        "first_name": "SHEMIKA",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "GA",
            "license": "25114064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Dudley B Christie Jr
• Dr. Bill'S Kids, PC
• Dr. Richard C. Anderson
• Nikki Dubois, CCC-SLP
• Robert Alan Dykes, PHARM D
• Melissa English, COTA
• Brenda R. Ethridge, GSL-SP.
• Fasttrack Immediate Care, LLC
• Melanie Yeomans Fish, M.ED., CCC-SLP
• Deananne D Fordham, PAC

• All providers in Cochran, GA
• Health Service Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.