Individual provider Active NPI

Shana-Kae J Davis-Chance, MSN, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1033618566
Registry record updated Feb 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN175675 Issued in GA
Practice address
761 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone
(770) 513-4000
NPI assigned
Feb 11, 2018
Last updated
Feb 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN175675 GA Primary

Addresses

Primary practice location

761 Old Norcross Rd
Lawrenceville, GA 30046-4317

Mailing address

2120 Hunters Cove Dr
Lawrenceville, GA 30044-5310

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
I20200521002681 GA Practitioner - Nurse Practitioner 5597186809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Women's Health Group, P.C. CurrentSince Oct 27, 2019 Accepting new patients
Atlanta Women's Health Group, P.C. CurrentSince Oct 27, 2019 Accepting new patients

Locations

2098 Teron Trce
Ste 150
Dacula, GA 30019
Phone (678) 730-1620

600 Professional Dr
Ste 200
Lawrenceville, GA 30046
Phone (770) 513-4000

761 Old Norcross Rd
Lawrenceville, GA 30046
Phone (770) 513-4000

5780 Peachtree Dunwoody Rd
Ste 295
Sandy Springs, GA 30342
Phone (404) 255-0621

5780 Peachtree Dunwoody Rd
Ste 300
Sandy Springs, GA 30342
Phone (404) 252-1137

Organizations & group practices 2

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": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1033618566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HUNTERS COVE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464317",
            "telephone_number": "770-513-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS-CHANCE",
        "first_name": "SHANA-KAE",
        "middle_name": "J",
        "credential": "MSN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN175675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.