Shonkeisha L Byrd, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN176478 Issued in GA

Practice address

3571 Martin Luther King Jr Dr SW
Atlanta, GA 30331-4017

Phone

(470) 832-6550

Fax

(877) 887-6103

NPI assigned

Jul 15, 2020

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Georgia Nephrology, LLC

  • Nephrology Physician
  • Decatur, GA
  • NPI 1063422723
  Medicare reassignment NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Woodstock

  • Internal Medicine Physician
  • Woodstock, GA
  • NPI 1689491680
  NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Stone Mountain

  • Internal Medicine Physician
  • Stone Mountain, GA
  • NPI 1760059331
  NPD
• Centerwell Senior Primary Care Ga PC

  dba CenterWell Senior Primary Care-Old National

  • Internal Medicine Physician
  • South Fulton, GA
  • NPI 1801463468
  NPD

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1043828106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 MILLENIA BLVD STE 650",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396013",
            "telephone_number": "470-832-6550",
            "fax_number": "877-887-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303314017",
            "telephone_number": "470-832-6550",
            "fax_number": "877-887-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "SHONKEISHA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN176478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada M Byrd, PA-C
• Katrina Byrd
• Milton Daniel Byrd, MD
• Rosalind Byrd
• Savannah Byrd, NNP-BP
• Tyrone Byrd, DC
• Alice N Byrne, AA
• Erin Kathleen Byrne, CCC-SLP
• Jennifer Byrne
• John J Byrne, M.D.

• Gerontology Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Gerontology Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.