Shamekon Rushin

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN289770 Issued in GA

Practice address

262 Dolly St
Gray, GA 31032-5335

Phone

(706) 575-7885

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carmarie Case Management LLC

  • Case Management Registered Nurse
  • Gray, GA
  • NPI 1801657879
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1083475271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310321071",
            "telephone_number": "706-575-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 DOLLY ST",
            "city": "GRAY",
            "state": "GA",
            "postal_code": "310325335",
            "telephone_number": "706-575-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHIN",
        "first_name": "SHAMEKON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN289770",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN289770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Edge Behavioral Health Center
• River Edge Behavorial Health Center
• River Edge Behavorial Health Center
• Melinda C Robbins
• Jennifer Weeks Roney, PHARM D
• S & S Medical Management Services, Inc
• Thomas H Sachy, M.D., M.SC., P.C.
• Jennifer Nicole Schmitz, FNP-C
• Corona Caprice Scott, THERAPIST
• Kimberly Sheffield, AGACNP-BC

• Case Management Registered Nurse in Gray, GA
• Providers in Gray, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.