Active NPI
Dana Louise Shroyer
- Case Manager/Care Coordinator
- Cumming, GA
National Provider Identifier
1043508146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 7110 McBrayer Rd
Cumming, GA 30028-8957 - Phone
- (404) 502-1357
- NPI assigned
- Jul 11, 2011
- Last updated
- Sep 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
7110 McBrayer Rd
Cumming, GA 30028-8957
Mailing address
7110 McBrayer Rd
Cumming, GA 30028-8957
Phone (404) 502-1357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003108245A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1043508146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7110 MCBRAYER RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300288957",
"telephone_number": "404-502-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7110 MCBRAYER RD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300288957",
"telephone_number": "404-502-1357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHROYER",
"first_name": "DANA",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003108245A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.