Individual provider Active NPI

Shmika Gaither, NP

  • Adult Health Nurse Practitioner
  • Richmond Hill, GA
National Provider Identifier
1104591791
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG08210083 Issued in GA
Practice address
3003 Kingswood Dr
Richmond Hill, GA 31324-1109
Phone
(912) 996-1907
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG08210083 GA Primary

Addresses

Primary practice location

3003 Kingswood Dr
Richmond Hill, GA 31324-1109

Mailing address

3003 Kingswood Dr
Richmond Hill, GA 31324-1109
Phone (912) 996-1907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20251104003251 KY Practitioner - Nurse Practitioner 8426548983 Reassigns benefits to 1 organization
I20251125002553 GA Practitioner - Nurse Practitioner 8426548983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3003 Kingswood Dr
Richmond Hill, GA 31324-1109

424 Church St
Nashville, TN 37219-2301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG08210083GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1104591791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 KINGSWOOD DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241109",
            "telephone_number": "912-996-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 KINGSWOOD DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241109",
            "telephone_number": "912-996-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITHER",
        "first_name": "SHMIKA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "AG08210083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, GA

Sources for this page

Verify at the official NPI Registry.