Shawn Wells Goldman, OM, RM, WMA

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Practice address

4140 Jonesboro Rd Ste D3
Forest Park, GA 30297-1071

Phone

(678) 783-4377

NPI assigned

Aug 1, 2026

Last updated

Aug 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1023931516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162299",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303212299",
            "telephone_number": "404-991-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 JONESBORO RD STE D3",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971071",
            "telephone_number": "678-783-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SHAWN",
        "middle_name": "WELLS",
        "credential": "OM, RM, WMA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-01",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Religious Nonmedical Practitioner in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Religious Nonmedical Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; 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.