Individual provider Active NPI

Shalea Goldson

  • Family Nurse Practitioner
  • Sandy Springs, GA
National Provider Identifier
1043170939
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213943 Issued in GA
Practice address
50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489
Phone
(770) 637-1359
NPI assigned
Nov 13, 2025
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 213943 GA Primary

Addresses

Primary practice location

50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489

Mailing address

50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489

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
I20251212001609 GA Practitioner - Nurse Practitioner 6800175217 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

2002 Summit Blvd NE
Suite 300
Atlanta, GA 30319-1410
Phone (973) 241-1356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213943GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC DMV LLC CurrentSince Nov 17, 2025 Accepting new patients
Ennoble HC DMV II LLC CurrentSince Nov 2, 2025 Accepting new patients
Ennoble HC DMV III LLC CurrentSince Nov 2, 2025 Accepting new patients

Locations

2002 Summit Blvd
Ste 300
Brookhaven, GA 30319
Phone (973) 241-1356

50 Glenlake Pkwy
Ste 420
Sandy Springs, GA 30328
Phone (404) 595-2210

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Accentcare Home Health of Central GeorgiaWatkinsville, GA, CCN 117145 Home health agency W-2 Managing Employee Jun 20, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1043170939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 GLENLAKE PKWY STE 420",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GLENLAKE PKWY STE 420",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283489",
            "telephone_number": "770-637-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSON",
        "first_name": "SHALEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "213943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.