Individual provider Active NPI

Shannon Hawks, NP

  • Family Nurse Practitioner
  • Cumming, GA
National Provider Identifier
1043175185
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP315524 Issued in GA
Practice address
5550 Bethelview Rd
Cumming, GA 30040-6859
Phone
(678) 456-4052
NPI assigned
Dec 22, 2025
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 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 APRN-NP315524 GA Primary

Addresses

Primary practice location

5550 Bethelview Rd
Cumming, GA 30040-6859

Mailing address

516 Sosebee Farm Rd
Grayson, GA 30017-0156
Phone (678) 456-4052

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
I20260202000519 GA Practitioner - Nurse Practitioner 9739667684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Sleep Specialists of Piedmont NortheastGroup PAC ID 5698209096, 18 clinicians

Practice addresses (Care Compare)

1800 Tree LN
Suite 200
Snellville, GA 30078-2060
Phone 7705860300352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP315524GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Sleep Specialists of Northeast Georgia, PC CurrentSince Mar 2, 2026 Accepting new patients
TLC of Georgia LLC Family CurrentSince Jan 19, 2026 Accepting new patients
Pulmonary and Sleep Specialists of Piedmont Northeast CurrentSince Mar 2, 2026 Accepting new patients

Locations

5550 Bethelview Rd
Cumming, GA 30040
Phone (678) 456-4054

2075 Hamilton Creek Pkwy
Ste 200
Dacula, GA 30019
Phone (770) 586-0300

455 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

2151 W Spring St
Ste B110
Monroe, GA 30655
Phone (770) 267-1895

1800 Tree Ln
Ste 200
Snellville, GA 30078
Phone (770) 586-0300

20 Satellite Dr
Ste 200
Winder, GA 30680
Phone (678) 963-0939

30 Satellite Dr
Ste 200
Winder, GA 30680
Phone (770) 586-0300

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": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1043175185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SOSEBEE FARM RD",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300170156",
            "telephone_number": "678-456-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 BETHELVIEW RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406859",
            "telephone_number": "678-456-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKS",
        "first_name": "SHANNON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP315524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.