Active NPI
Shannon Williams-Cochran
- Licensed Practical Nurse
- Fort Valley, GA
National Provider Identifier
1073305066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN096721
- Practice address
- 2004 Carver Dr
Fort Valley, GA 31030-4443 - Phone
- (478) 718-8793
- NPI assigned
- May 19, 2025
- Last updated
- May 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | LPN096721 | GA | |
| Diabetes Educator Registered Nurse | 163WD0400X | LPN096721 | GA | |
| Peritoneal Dialysis Registered Nurse | 163WD1100X | LPN096721 | GA | |
| Enterostomal Therapy Registered Nurse | 163WE0900X | LPN096721 | GA | |
| Home Health Registered Nurse | 163WH0200X | LPN096721 | GA | |
| Hospice Registered Nurse | 163WH1000X | LPN096721 | GA | |
| Infusion Therapy Registered Nurse | 163WI0500X | LPN096721 | GA | |
| Medical-Surgical Registered Nurse | 163WM0705X | LPN096721 | GA | |
| Wound Care Registered Nurse | 163WW0000X | LPN096721 | GA | |
| Licensed Practical Nurse | 164W00000X | LPN096721 | GA | Primary |
| Lactation Consultant (Non-RN) | 174N00000X | LPN096721 | GA | |
| Pediatric Hospice and Palliative Medicine Physician | 2080H0002X | LPN096721 | GA |
Addresses
Primary practice location
2004 Carver Dr
Fort Valley, GA 31030-4443
Mailing address
2004 Carver Dr
Fort Valley, GA 31030-4443
Phone (478) 718-8793
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN096721 | GA | MD | Enterostomal Therapy Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fruit of the Spirit Companion Services | Current | Accepting new patients | |
| Fruit of the Spirit Companion Services | Past | Accepting new patients |
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.
-
- Home Health Agency
- Fort Valley, GA
- NPI 1366271116
-
- Home Health Agency
- Fort Valley, GA
- NPI 1962324426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1073305066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 CARVER DR",
"city": "FORT VALLEY",
"state": "GA",
"postal_code": "310304443",
"telephone_number": "478-718-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 CARVER DR",
"city": "FORT VALLEY",
"state": "GA",
"postal_code": "310304443",
"telephone_number": "478-718-8793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-COCHRAN",
"first_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WD1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Dialysis, Peritoneal",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WE0900X",
"taxonomy_group": "",
"desc": "Registered Nurse, Enterostomal Therapy",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "LPN096721",
"primary": true
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": "LPN096721",
"primary": false
},
{
"code": "2080H0002X",
"taxonomy_group": "",
"desc": "Pediatrics, Hospice and Palliative Medicine",
"state": "GA",
"license": "LPN096721",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Valley, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.